Open AccessA high-risk patients with multiple peripheral nerve block in the application of ultrasound guidance
Author(s) -
Mustafa Çiftçioğlu,
Sertan Acar,
Yavuz Gürkan,
Mine Solak,
Kamíl Toker
Publication year - 2012
Publication title -
ağrı
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 19
eISSN - 2458-9446
pISSN - 1300-0012
DOI - 10.5505/agri.2012.18291
Subject(s) - levobupivacaine , medicine , ultrasound , lidocaine , local anesthetic , anesthetic , nerve block , anesthesia , anesthetic effect , peripheral nerve , femoral nerve , surgery , radiology , bupivacaine , anatomy
Using low doses of local anesthetic, ultrasound guided multiple nerve blocks were performed in a high-risk patient. Surgical anesthesia was provided in an ASA III classified patient who received ultrasound guided right femoral and bilateral popliteal blocks. Using 80 mm needle, blocks were performed using a mixture of 10 ml 0.5% levobupivacaine and lidocaine 2%. Femoral nerve block was performed using 10 ml of levobupivacaine 0.5%. Visualization of nerves by ultrasound guidance increases block success rate and contributes to lower local anesthetic doses. Using lower doses of local anesthetic during ultrasound-guided blocks allows multiple blocks to be performed safely.