The successful use of peripheral nerve blocks for femoral amputation.
We present a case report of four patients with severe cardiac insufficiency where peripheral nerve blocks guided by either nerve stimulation or ultrasonography were the sole anaesthetic for above-knee amputation. The patients were breathing spontaneously and remained haemodynamically stable during surgery. Thus, use of peripheral nerve blocks for femoral amputation in high-risk patients seems to be the technique of choice that can lower perioperative risk.
Bech
B
B
Department of Anaesthesiology and Intensive Care, Bispebjerg University Hospital, Copenhagen, Denmark.
Melchiors
J
J
Børglum
J
J
Jensen
K
K
D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000379:methods*; D000768:Anesthesia, General; D015897:Comorbidity; D000075202:Contraindications; D003704:Dementia / Q000150:complications; D048909:Diabetes Complications / Q000601:surgery; D005260:Female; D018409:Foot Injuries / Q000473:pathology / Q000601:surgery; D005734:Gangrene / Q000601:surgery; D006331:Heart Diseases / Q000150:complications; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009407:Nerve Block; D019338:Polypharmacy; D004561:Transcutaneous Electric Nerve Stimulation
D006993:Hypnotics and Sedatives