Sal G Intagliata*, Tyler R Mattingly, Juliet L Fernández and Gustavo G Angaramo
Department of Anesthesiology and Perioperative Medicine, University of Massachusetts Medical School, USAFulltext PDF
The ability to perform regional anesthesia on surgeries; which routinely require general anesthesia; allows us to avoid endotracheal intubation, limit systemic medications and reduce hemodynamic changes during surgery. The vascular procedure known as Distal Revascularization and Interval Ligation (DRIL) requiring an endoscopic saphenous vein harvest has been routinely done under general anesthesia. This case documents the use of regional anesthesia and moderate sedation in a 60 to 70 year old female who has been diagnosed with ischemic steal syndrome after a recent arteriovenous fistula creation. We performed a Supraclavicular, Femoral and Obturator nerve block. This combination of blocks successfullyprovided most of the anesthetic management for the procedure, in addition to postoperative analgesia, without complications.
ntagliata SG, Mattingly TR, Fernández JL, Angaramo GG. The Use of Regional Anesthesia for Vascular Surgery Known as Distal Revascularization with Interval Ligation Including Endoscopic Saphenous Vein Harvest. World J Vasc Surg. 2020;3(1):1021..