Use of Peripheral Nerve Blocks with Sedation for Total Knee Arthroplasty in a Patient with Contraindication for General AnesthesiaReport as inadecuate




Use of Peripheral Nerve Blocks with Sedation for Total Knee Arthroplasty in a Patient with Contraindication for General Anesthesia - Download this document for free, or read online. Document in PDF available to download.

Case Reports in Anesthesiology - Volume 2015 2015, Article ID 950872, 4 pages -

Case Report

McGaw Medical Center of Northwestern University, Chicago, IL 60611, USA

Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA

Received 6 August 2015; Accepted 12 October 2015

Academic Editor: Richard Riley

Copyright © 2015 Eric Kamenetsky et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Although peripheral nerve blocks are commonly used to provide postoperative analgesia after total knee arthroplasty TKA and other lower extremity procedures, these blocks are rarely used for intraoperative anesthesia. Most TKAs are performed under general anesthesia GA or neuraxial anesthesia NA. The knee has a complex sensory innervation that makes surgical anesthesia difficult with peripheral nerve blocks alone. Rarely are both GA and NA relatively contraindicated and alternatives are considered. We present a patient who underwent TKA performed under peripheral nerve block and sedation alone.





Author: Eric Kamenetsky, Antoun Nader, and Mark C. Kendall

Source: https://www.hindawi.com/



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