Anesth Pain Med.  2013 Oct;8(4):222-225.

Ultrasound-guided femoral nerve, femoral branch of genitofemoral nerve and sciatic nerve block for femoro-popliteal or tibial arterial bypass surgery on patients with cardiac dysfunction: Report of two cases

• Heo BY
• Gwak MS
• Jung JW
• Oh EJ
• Choi SJ
• Lee SM
• Kim YW

Abstract

We report two cases of high-risked patients with cardiac dysfunction undergoing femoro-popliteal or tibial arterial bypass surgery anesthetized by ultrasound guided peripheral nerve blocks; femoral nerve, femoral branch of genitofemoral nerve and sciatic nerve block. We used an anesthetic solution consisting of 0.375% ropivacaine with epinephrine. We provided sufficient surgical anesthesia. These nerve blockades provided stable intraoperative and postoperative hemodynamic status, which is valuable knowledge from the perspective of postoperative pain control as well as satisfaction of both patients and surgeons. We believe that femorosciatic nerve block with concurrent femoral branch block of genitofemoral nerve could be an excellent anesthetic choice for patients receiving femoro-popliteal or tibial arterial bypass surgery, especially in patients with cardiac dysfunction.

Keyword

Femoral nerve; Nerve block; Peripheral vascular disease; Regional anesthesia; Sciatic nerve; Ultrasonography

MeSH Terms

Amides
Anesthesia
Anesthesia, Conduction
Epinephrine
Femoral Nerve*
Hemodynamics
Humans
Nerve Block
Pain, Postoperative
Peripheral Nerves
Peripheral Vascular Diseases
Sciatic Nerve*
Ultrasonography
Amides
Epinephrine