Femoral and sciatic nerve block with 0.25% bupivacaine for surgical management of diabetic foot syndrome: an anesthetic technique for high-risk patients with diabetic nephropathy

Journal of Clinical Anesthesia
Aysu KocumGulnaz Arslan

Abstract

A case series of patients with diabetic nephropathy, who underwent lower limb debridement or amputation below the knee during successful combined sciatic and femoral nerve block with bupivacaine 0.25%, is presented. Because impaired nerve conduction in diabetes mellitus results in lower local anesthetic agent requirement, a dose-sparing, minimal effective concentration for surgical anesthesia for peripheral nerve blockade may be more favorable for patients with diabetes and chronic renal disease.

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Aug 10, 2000·Anesthesiology Clinics of North America·J A Dilger
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Citations

Jan 26, 2013·British Journal of Anaesthesia·P CuvillonO Langeron
Aug 3, 2012·Regional Anesthesia and Pain Medicine·Ottokar Stundner, Stavros G Memtsoudis
Mar 26, 2013·Journal of the American College of Surgeons·Patrick J O'BrienJohn E Scarborough
Jul 3, 2015·Journal of Translational Medicine·Anne Gomez-BrouchetVincent Minville
Oct 1, 2011·International Anesthesiology Clinics·Philipp LirkQuinn Hogan
Jul 16, 2019·Regional Anesthesia and Pain Medicine·Shuai TangYuguang Huang

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