Limits...
Femoral sciatic block: A safe alternative in von Recklinghausen's disease.

Bhagyalakshmi R, Koshy RC - Indian J Anaesth (2011)

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesia, Regional Cancer Center, Trivandrum, Kerala, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

They are of 2 main types NF1 and NF2.NF1 (von Recklinghausen’s neurofibromatosis) is the most common type... Hence a general anesthetic plan was not preferred, although the patient’s pulmonary function tests were normal... The patients’ blood investigation results were within normal limits... A combined sciatic and femoral block was performed guided by a nerve stimulator (Stimuplex Dig RC)... After infiltrating local anesthetic, sciatic nerve block (classical posterior approach) was achieved with 20 cc of 0.5% bupivacaine [Figures 1–3] Femoral nerve block (identified by patellar twitch) was given with 20 cc 2% lignocaine with adrenaline Onset of analgesia occurred in 15–20 min... It is progressive, worsens with pregnancy and during puberty and is more frequent among males... Anesthetic management of patients with NF1 requires attention to all possible abnormalities and associated disturbances... Pheochromocytoma is present in up to 1% of these patients accounting for secondary hypertension... Gliomas, meningiomas, hydrocephalus, and spina bifida have been found in von-Recklinghausen’s patients... Current thought, however, is that these patients respond normally to neuromuscular blockers... Hence the choice of general or regional anesthesia is complex... Thus regional technique using a combined femoral and sciatic block is a safe and viable alternative for procedures on the leg and foot.

No MeSH data available.


Landmarks for sciatic nerve block
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3106409&req=5

Figure 0002: Landmarks for sciatic nerve block


Femoral sciatic block: A safe alternative in von Recklinghausen's disease.

Bhagyalakshmi R, Koshy RC - Indian J Anaesth (2011)

Landmarks for sciatic nerve block
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3106409&req=5

Figure 0002: Landmarks for sciatic nerve block

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesia, Regional Cancer Center, Trivandrum, Kerala, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

They are of 2 main types NF1 and NF2.NF1 (von Recklinghausen’s neurofibromatosis) is the most common type... Hence a general anesthetic plan was not preferred, although the patient’s pulmonary function tests were normal... The patients’ blood investigation results were within normal limits... A combined sciatic and femoral block was performed guided by a nerve stimulator (Stimuplex Dig RC)... After infiltrating local anesthetic, sciatic nerve block (classical posterior approach) was achieved with 20 cc of 0.5% bupivacaine [Figures 1–3] Femoral nerve block (identified by patellar twitch) was given with 20 cc 2% lignocaine with adrenaline Onset of analgesia occurred in 15–20 min... It is progressive, worsens with pregnancy and during puberty and is more frequent among males... Anesthetic management of patients with NF1 requires attention to all possible abnormalities and associated disturbances... Pheochromocytoma is present in up to 1% of these patients accounting for secondary hypertension... Gliomas, meningiomas, hydrocephalus, and spina bifida have been found in von-Recklinghausen’s patients... Current thought, however, is that these patients respond normally to neuromuscular blockers... Hence the choice of general or regional anesthesia is complex... Thus regional technique using a combined femoral and sciatic block is a safe and viable alternative for procedures on the leg and foot.

No MeSH data available.