Use of Femoral and Sciatic Nerve Block Combination in Severe Emphysematous Lung Disease for Femoral Popliteal Arterial Bypass Surgery

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dc.authorid0000-0003-1996-7505en_US
dc.authorid0000-0001-7469-8059en_US
dc.contributor.authorSelvi, Onur
dc.contributor.authorBayserke, Olgar
dc.contributor.authorTulgar, Serkan
dc.date.accessioned2024-07-12T21:46:03Z
dc.date.available2024-07-12T21:46:03Z
dc.date.issued2018en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractRegional anesthesia is a widely used anesthesia technique for high-risk patients with severe vascular or pulmonary diseases in which general anesthesia is considered harmful and should be avoided. In this case, we present the use of femoral-sciatic nerve block combination for a 65 year-old, ASA IV, male patient who had severe emphysematous lung disease and was planned for a right femoral-popliteal arterial bypass surgery. He had severe pulmonary disease, hypertension, peripheral vascular disease, and was on clopidogrel treatment. Due to his existing comorbidities, regional anesthesia was considered the right method. The combination of femoral and sciatic nerve block was successfully used for the operation, which lasted for one hour and fifty minutes under sedation, and was continuously supplied with a propofol infusion. The patient was safely discharged to the surgical ward with no pain. The femoral block and sciatic block combination is described as one of the most useful, and at the same time, the most ignored anesthetic method. This technique is considered a standard technique and is often taught early in training; however, its use seems to be underestimated as there are only a few cases documented in Turkey. The aim of this case is to serve as a reminder of its significant value in patients who are not appropriate for general anesthesia and neuraxial blocks.en_US
dc.identifier.doi10.7759/cureus.2140
dc.identifier.issn2168-8184
dc.identifier.issue2en_US
dc.identifier.pmid29632750en_US
dc.identifier.urihttps://dx.doi.org/10.7759/cureus.2140
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7877
dc.identifier.volume10en_US
dc.identifier.wosWOS:000450936000008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherCUREUS INCen_US
dc.relation.ispartofCUREUSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY00571
dc.subjectvascular surgeryen_US
dc.subjectnerve blocken_US
dc.titleUse of Femoral and Sciatic Nerve Block Combination in Severe Emphysematous Lung Disease for Femoral Popliteal Arterial Bypass Surgeryen_US
dc.typeArticle
dspace.entity.typePublication

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