title: Regional anesthesia for vascular surgery.
abstract: Vascular surgical patients are a diverse group of patients who tend to be elderly, with multiple comorbidities, while vascular procedures may involve significant blood loss and ischemia of tissues beyond the arterial obstruction. Regional anesthesia techniques may offer benefits to patients undergoing vascular surgery because of their cardiorespiratory comorbidities. However, this group of patients is commonly receiving multiple medications, including anticoagulants, so regional techniques are not without risks. This review will discuss this topic based around 3 fundamental revascularization procedures, carotid, abdominal aortic aneurysm repair, and infrainguinal surgery, discussing the clinical applications of regional techniques relevant to each key area.
authors: Oxford University Hospitals NHS Trust, Headington, Oxford, UK.
authors: Catherine J
authors: CJ
authors: Atkinson
authors: Karunakaran
authors: K
authors: Ramaswamy
authors: Mark D
authors: MD
authors: Stoneham
mesh_terms: D000368:Aged; D000765:Anesthesia, Conduction / Q000009:adverse effects / Q000379:methods*; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D016063:Blood Loss, Surgical / Q000517:prevention & control; D002318:Cardiovascular Diseases / Q000503:physiopathology; D002339:Carotid Arteries / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000517:prevention & control; D012140:Respiratory Tract Diseases / Q000503:physiopathology; D014656:Vascular Surgical Procedures / Q000379:methods*
chemical_list: D000925:Anticoagulants
keywords: analgesia; noncardiac surgery; outcome; perioperative mortality; postoperative complications