title: [Anesthesia for lower extremity vascular bypass with peripheral nerve block].
abstract: Vascular bypass is a surgical procedure widely used to treat peripheral vascular disease. The intraoperative anesthetic technique and the most appropriate postoperative analgesia for these high-risk patients remain controversial. We present the case of a patient undergoing femoropopliteal-distal bypass in our service, presenting with relevant comorbidities to the choice of anesthetic technique. This patient had several determining factors of difficult airway, especially thoracic kyphoscoliosis, which prevented him from being properly positioned for airway management, and chronic lung disease. This patient was also taken antiplatelet drugs, which is a contraindication for neuraxial block. So, we chose the anesthetic technique of peripheral nerve block, specifically the blockade of femoral and sciatic nerves.
authors.affiliation: Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil. Electronic address: jordana_fguimaraes@yahoo.com.br.
authors.forename: Jordana de Fraga
authors.initials: JF
authors.lastname: Guimarães
authors.affiliation: Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre, Serviço de Anestesiologia, Porto Alegre, RS, Brasil; Hospital Sírio Libanês, São Paulo, SP, Brasil.
authors.forename: Cristine Formighieri
authors.initials: CF
authors.lastname: Angonese
authors.affiliation: Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre, Serviço de Anestesiologia, Porto Alegre, RS, Brasil.
authors.forename: Rafael Klein
authors.initials: RK
authors.lastname: Gomes
authors.affiliation: Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil; Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre, Serviço de Anestesiologia, Porto Alegre, RS, Brasil.
authors.forename: Vasco Miranda
authors.initials: VM
authors.lastname: Junior
authors.affiliation: Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre, Serviço de Anestesiologia, Porto Alegre, RS, Brasil; Hospital Santa Clara, Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, Brasil.
authors.forename: Carlos
authors.initials: C
authors.lastname: Farias
mesh_terms: D000368:Aged; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D009407:Nerve Block / Q000379:methods*; D016491:Peripheral Vascular Diseases / Q000601:surgery*; D011150:Popliteal Artery / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods
keywords: Bloqueio de nervo femoral; Bloqueio de nervo isquiático; Cirurgia vascular; Femoral nerve block; Sciatic nerve block; Vascular surgery