• Users Online: 679
  • Print this page
  • Email this page
CASE REPORT
Year : 2010  |  Volume : 54  |  Issue : 3  |  Page : 235-238

Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions


1 Department of Anaesthesiology, A J Institute of Medical Sciences, Kuntikana, Mangalore, India
2 Department of Plastic & Reconstructive Surgery, A J Institute of Medical Sciences, Kuntikana, Mangalore, India

Correspondence Address:
Thrivikrama Padur Tantry
Department of Anaesthesiology, A J Institute of Medical Sciences, Kuntikana, Mangalore 575 004
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.65372

Rights and Permissions

Peripheral nerve block (PNB) in anticoagulated patients is controversial and guidelines are not defined. We report two patients with severe cardiac valvular lesions, who underwent emergency surgeries for lower limb. Both the patients were on anticoagulants, warfarin and heparin in one and aspirin and clopidogrel in the other, with abnormal coagulation profile in the former. Combined femoral and sciatic nerve blocks were used as a sole anaesthetic technique. Postoperatively, the patients were evaluated for bleeding complications at the injection site using high-frequency ultrasound probe. Both had uneventful surgery and recovery. A close postoperative monitoring following PNBs in anticoagulated patients is necessary.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed6721    
    Printed122    
    Emailed2    
    PDF Downloaded806    
    Comments [Add]    
    Cited by others 5    

Recommend this journal