Femoral and sciatic nerve blocks for total knee replacement in an obese patient with a previous history of failed endotracheal intubation: A case report
Anesthesia and Pain Medicine
;
: 270-274, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-14755
ABSTRACT
Peripheral nerve block has frequently been used as an alternative to epidural analgesia for postoperative pain control in patients undergoing total knee replacement. However, there are few reports demonstrating that the combination of femoral and sciatic nerve blocks (FSNBs) can provide adequate analgesia and muscle relaxation during total knee replacement. We experienced a case of successful FSNBs for a total knee replacement in a 66 year-old female patient who had a previous cancelled surgery due to a failed tracheal intubation followed by a difficult mask ventilation for 50 minutes, 3 days before these blocks. FSNBs were performed with 50 ml of 1.5% mepivacaine because she had conditions precluding neuraxial blocks including a long distance from the skin to the epidural space related to a high body mass index and nonpalpable lumbar spinous processes. This case suggests that FSNBs can provide a good alternative anesthetic method for total knee replacement.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Dor Pós-Operatória
/
Nervos Periféricos
/
Nervo Isquiático
/
Pele
/
Ventilação
/
Analgesia Epidural
/
Índice de Massa Corporal
/
Artroplastia do Joelho
/
Espaço Epidural
/
Nervo Femoral
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2011
Tipo de documento:
Artigo
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