Erythroxylum coca
Regional Anesthesia and Vascular Surgery.
(In development)
V17
A
https://www.regional-anesthesia.com Editor: Dr. Robert Maurice Raw
ADVERTISEMENTS
INTRODUCTION:
There of a number of core anesthesia challenges in vascular patients that need extra consideration when considering the
use of regional anesthesia as either postoperative pain relief, or as sole anesthetic, or combined with general anesthesia:
1.
Most patients have numerous significant systemic co-morbid disease together with their vascular disease. This may make
it desirable to fully avoid general anesthesia, or at least avoid deep general anesthetisia by using combined regional and
general anesthesia.
2.
Vascular repair, especially of smaller and peripheral blood vessels may have protection from early clotting by use of
regional anesthesia, making use of regional anesthesia attractive.
3.
At some point either before, or during or after surgery anti-coagulant therapy will need to be administered for surgical
reasons to prevent clotting in the repaired vessels. Furthermore many of this group of surgical patients will be on long term
anticoagulation therapy that may need brief cessation during surgery.
•
Any nerve block performed in the presence of anticoagualant therapy, where anticoagulant therapy is administered in
the presence of a local-aneshtiec drug infusion catheter, e.g. epidural catheter, may make the nerve block be relatively
contra-indicated. All clinical therapy decisions will complex choices balancing bi-directional risk considerations.
Regional-Anesthesia.Com will offer information and discussions to assist practitioners make best clinical decisions.
•
OG27. Ilio-femoral artery bypass graft performed under continuous spinal block.
•
CASE REPORT. Epidural performed under full warfarin anticoagulation. CLICK
•
ASRA Advisory.
•
ESRA Advisory.
Erythroxylum
coca
B
Regional
Anesthesia and
Vascular
Surgery.
(In development)
https://www.regional-anesthesia.com Editor: Dr. Robert Maurice Raw
V17
B
ADVERTISEMENTS
Erythroxylum coca
Regional Anesthesia and Vascular Surgery.
(In development)
https://www.regional-anesthesia.com Editor: Dr. Robert Maurice Raw
C
V17
ADVERTISEMENTS
C
INTRODUCTION:
There of a number of core anesthesia challenges in
vascular patients that need extra consideration when
considering the use of regional anesthesia as either
postoperative pain relief, or as sole anesthetic, or combined
with general anesthesia:
1.
Most patients have numerous significant systemic co-
morbid disease together with their vascular disease.
This may make it desirable to fully avoid general
anesthesia, or at least avoid deep general anesthetisia
by using combined regional and general anesthesia.
2.
Vascular repair, especially of smaller and peripheral
blood vessels may have protection from early clotting
by use of regional anesthesia, making use of regional
anesthesia attractive.
3.
At some point either before, or during or after surgery
anti-coagulant therapy will need to be administered
for surgical reasons to prevent clotting in the repaired
vessels. Furthermore many of this group of surgical
patients will be on long term anticoagulation therapy
that may need brief cessation during surgery.
•
Any nerve block performed in the presence of
anticoagualant therapy, where anticoagulant
therapy is administered in the presence of a local-
aneshtiec drug infusion catheter, e.g. epidural
catheter, may make the nerve block be relatively
contra-indicated. All clinical therapy decisions will
complex choices balancing bi-directional risk
considerations.
Regional-Anesthesia.Com will offer information and
discussions to assist practitioners make best clinical
