Case Series of Three  High Risk Patients for Lower Limb Surgeries Anaesthetized With  Femoral With Sciatic Block

Dr. GIRISH SAUNDATTIKAR; Dr. ADNANALI SARKAR; Dr. Smita Saundattikar

Volume : IV, Issue : IX, September - 2014

Case Series of Three High Risk Patients for Lower Limb Surgeries Anaesthetized With Femoral With Sciatic Block

Dr. Girish Saundattikar, Dr. Adnanali Sarkar, Dr. Smita Saundattikar

Abstract :

Guillain–Barré syndrome (GBS) an acute autoimmune demyelinating polyneuropathy with ascending motor weakness, sensory and autonomic dysfunction can cause significant morbidity requiring long hospital inpatient stay and significant periods of rehabilitation. Severe autonomic instability and sensitivity to skeletal muscle relaxants poses a challenge for anaesthetic management of these patients when they come for surgery. Similarly, Dilated Cardiomyopathy and Severe Ischemic heart Disease are high risk conditions for anaesthetic management especially if associated with major haemodynamic instabilities. We are reporting a case series of three such High Risk patients of lower limb surgeries who were effectively managed with Femoro– Sciatic Nerve block, thus avoiding severe haemodynamic instability associated with General or Spinal Anaesthesia in such patients.