Combined Lumbar Plexus-Sciatic Nerve Block for Urgent Lower Limb Surgery: A Good Alternative in Patients With High Anesthetic Risk.

Cureus

Anesthesiology and Critical Care, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Marrakech, MAR.

Published: April 2024

AI Article Synopsis

  • The use of peripheral nerve blocks has increased due to advancements in techniques and materials, promoting patient safety, especially in high-risk individuals.
  • The challenge of anesthetizing elderly or high-risk patients makes peripheral nerve blocks essential to reduce complications associated with general or spinal anesthesia.
  • This report examines a case series of five patients with high anesthetic risk who underwent lower limb surgeries using a combined lumbar plexus-sciatic nerve block, evaluating its effectiveness as an anesthetic alternative.

Article Abstract

The use of peripheral nerve blocks has grown significantly in recent years not only because of the progress and availability of the materials necessary for its realization but also for enhancing patient safety. Anesthesia in the elderly or individuals with high anesthetic risk is always a challenge for the practitioner. Hence, the importance of peripheral nerve blocks in avoiding the side effects associated with general or spinal anesthesia. In this report, we present a case series of five patients with high anesthetic risk (classified American Society of Anesthesiologists (ASA) III or IV) who underwent different lower limb surgeries under a combined lumbar plexus-sciatic nerve block. The goal of this case series was to evaluate the effectiveness of this technique as an anesthetic alternative for these different types of surgical procedures.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11066951PMC
http://dx.doi.org/10.7759/cureus.58763DOI Listing

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