Ultrasound-guided popliteal nerve blocks in a high risk patient for bilateral foot amputations on dual anti-platelet therapy

Ultrasound-guided popliteal nerve blocks in a high risk patient for bilateral foot amputations on dual anti-platelet therapy

Published: 06 Dec 2016

© Anaesthesia Cases / 2016-0232 / ISSN 2396-8397

Authors

Dr Laura McLoughlin [1]
Dr Lloyd Turbitt [2]
  • [1] Specialist Registrar, Anaesthetics, Royal Victoria Hospital, Belfast, United Kingdom
  • [2] Consultant, Anaesthetics, Royal Victoria Hospital , Belfast, United Kingdom

Summary

We present the case of an ASA physical status 4 patient, receiving dual anti-platelet therapy, in whom bilateral ultrasound-guided popliteal nerve blocks were performed for surgical anaesthesia during bilateral trans-metatarsal amputations. The potential complications of central neuraxial blockade or general anaesthesia with opioid administration were avoided in this patient with the use of ultrasound-guided peripheral nerve blocks.  No bleeding or neurological complications occurred.

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