title: [Sciatic, femoral and cutaneous nerve block for arthroscopic meniscectomy in a patient with Eisenmerger's syndrome. Case report].
abstract: The principal complication to prevent in Eisenmerger disease with left-right shunt during surgery decreasing of systemic pressure with reduction of pulmonary perfusion and break-down of central oxigenation. A 32 ys old male patient (ASA risk 3) to undergo an extirpation of meniscus by arthroscopic surgery, suffering from Eisenmerger's syndrome with left-type only ventricle, diagnosed when he was 3 ys old and but no repaired by any operation. We performed a sciatic, femoral and lateral cutaneous of thigh nerves block with ropivacaine, that consents a prolonged antalgic effect in postoperative period with minimizing of systemic and pulmonary hypotension risk compared to general, epidural or spinal anaesthesia. Basing on our experience and literature references we think that the anaesthesiological technique with the lowest risk for lower limb surgery in Eisenmerger's syndrome is truncular block.
authors.affiliation: Servizio di Anestesia e Rianimazione, Casa di Cura Cascini, Belvedere Marittimo, Cosenza.
authors.forename: D
authors.initials: D
authors.lastname: Rizzo
authors.forename: E
authors.initials: E
authors.lastname: Giustiniano
authors.forename: D
authors.initials: D
authors.lastname: Pellicori
authors.forename: C M
authors.initials: CM
authors.lastname: Misiti
authors.forename: G
authors.initials: G
authors.lastname: Cosco
mesh_terms: D000328:Adult; D001182:Arthroscopy; D004541:Eisenmenger Complex / Q000150:complications*; D005267:Femoral Nerve; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery*; D009407:Nerve Block; D012584:Sciatic Nerve
vernacular_title: Blocco dei nervi sciatico, femorale e cutaneo laterale della coscia per meniscectomia in artroscopia in un paziente affetto da sindrome di Eisenmerger. Caso clinico.