AI Article Synopsis

  • Patients undergoing major vascular surgery tend to be older, have multiple medical issues, and face higher risks with general anesthesia.
  • A review of existing literature revealed no prior studies on the use of PECS II nerve block for extra-anatomic bypass surgeries.
  • This case report highlights the potential of using peripheral nerve blocks, alongside continuous spinal anesthesia, as a safer alternative to general anesthesia for axillofemoral-femoral bypass procedures.

Article Abstract

Patients presenting for major vascular surgery are often elderly, medically complex, and at increased risk for general anesthesia-related complications. A search of the published literature produced no citation regarding PECS II block in the setting of extra-anatomic bypass procedures. We present a case report describing the use of the deep injection of the PECS II block in this context. Although further investigation is needed to determine the role of truncal blocks in major vascular surgery, our case illustrates that peripheral nerve blocks, combined with continuous spinal anesthesia, may be used as an alternative to general anesthesia for axillofemoral-femoral bypass.

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Source
http://dx.doi.org/10.1213/XAA.0000000000001019DOI Listing

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