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SAS Journal of Medicine | Volume-10 | Issue-11
Ultrasound-Guided Nerve Blocks for Leg Amputation in High-risk Patients under Antithrombotic Therapy: A Report of Two Cases and Review of Literature
Ismail Aissa, Aziz Benakrout, Mustapha Bensghir, Hicham Balkhi
Published: Nov. 14, 2024 | 113 116
DOI: https://doi.org/10.36347/sasjm.2024.v10i11.006
Pages: 1330-1333
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Abstract
Patients with complex comorbidities under antithrombotic therapy are a real challenge for anesthesiologists because of general and neuraxial anesthesia high risks. Perineural anesthesia allows high quality intraoperative conditions for fragile patients and provides excellent postoperative results. Ultrasound guided superficial nerve blocks were defined to be with low risk of bleeding and seems to be a safe anesthetic option for patients under antithrombotic therapy. Through two cases of leg amputation performed under ultrasound-guided femoral and sciatic nerve blocks we discuss the interest and the practicability of this anesthetic technique in such patients.