Sciatic Block and 3 In 1 Block for Lower Limb Surgeries Contraindicated to Spinal Anesthesia

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Sciatic Block and 3 In 1 Block for Lower Limb Surgeries Contraindicated to Spinal Anesthesia

Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 10

Abstract

This procedure was evaluated in 30 patients (ASA I to IV) undergoing elective and or emergent orthopedic surgeries. Those patients who could not positioned themselves for sciatic block e.g. Facture femur head, Hip were excluded from this study. All 30 patients were given sciatic nerve block through classic posterior approach and 3 in 1 block through inguinal perivascular approach with success rate of 90%. This technique could avoid centroneurexis block in haemodymic unstable patients. This is safe simple and effective alternative to spinal anesthesia for power limb surgeries especially in patients with poly trauma. However one should be careful while using it in patients having gross hepatic and or renal disorder for fear of accumulation of local anesthetics drugs up to toxic level.

Authors and Affiliations

Dr Anita B Patel, Dr Lisa Abram

Keywords

Anesthetic technique. Sciatic nerve Block Posterior Approach Lumber plexus block 3in 1 Block Perivascular Approach

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EP ID EP574119
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