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Combined Ultrasound Guided Femoral and Sciatic Nerve Block for below Knee Amputation in Patient having Mitral Stenosis with Atrial Fibrillation
Patients with severe mitral stenosis possess anaesthetic challenge due to fixed cardiac output with additional risk of atrial fibrillation. Both central neuroaxial blockade and general anaesthesia have a potential risk for this case. We report a patient who underwent below knee amputation under ultrasound guided combined femoral and sciatic nerve block successfully.
Ultrasound, Femoral Sciatic Nerve Block, Mitral Stenosis, Atrial Fibrillation.
- Tantry TP, Kadam D, Shetty P, Bhandary S. Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions. Indian journal of anaesthesia. 2010 May 1;54(3):235
- Goldstein S, Taragin MS. Mitral valve disease. In: Simpson JI, editor. Anaesthesia and the patient with co-existing heart disease. Boston: Little, Brown and Co; 2003. p. 145-6
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