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CASE REPORT
Year : 2019  |  Volume : 33  |  Issue : 2  |  Page : 103-105

Role of ultrasound guided continuos sciatic nerve blocks in a complicated case of vasopressor induced lower limb ischemic pain


Department of Anaesthesiology and Pain Medicine, Yashoda Hospital, Secunderabad, Telangana, India

Correspondence Address:
Dr. Uma Pradeepa Lakkaraju
Plot No-166, Phase-2, Kapra, ECIL, Hyderabad - 500 062, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpn.ijpn_68_18

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Acute limb ischemia (ALI) is defined as any sudden decrease in limb perfusion causing a potential threat to limb viability. We are presenting a case of vasopressor-induced ALI involving both the lower limbs in a patient with altered coagulation, thrombocytopenia, and severe cardiovascular dysfunction. It is challenging to provide pain relief to a very sick hemodynamically unstable patient. A continuous peripheral nerve block of the lower limb has been shown to provide multiple benefits. In this patient, we successfully placed ultrasound-guided bilateral sciatic nerve catheters for continuous pain relief up to 2 weeks, with no major complications during or after the procedure. This case highlights that continuous peripheral nerve catheters provide good analgesia in ALI and have a positive effect on microcirculation, hence to be more frequently used.


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