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CASE REPORT
Year : 2016  |  Volume : 2  |  Issue : 3  |  Page : 109-111

Single injection combined femoral sciatic nerve block in lower limb orthopedic surgery in a high-risk patient


1 Postgraduate Resident, Department of Anesthesiology, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India
2 Associate Professor, Department of Anesthesiology, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India

Correspondence Address:
Mayank Chansoria
Associate Professor, Department of Anesthesiology, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0055

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We report a case of a 50-year-old male diagnosed with fracture tibia shaft posted for open reduction internal fixation (tibial interlocking). His comorbidities included diabetes mellitus (DM), hypertension, ischemic heart disease (IHD), and chronic obstructive pulmonary disease (COPD). The surgery was successfully completed under regional anesthesia with single injection combined sciatic femoral nerve block using peripheral nerve stimulator (PNS). Regional techniques like peripheral nerve block are preferred modalities to avoid undue complication of general anesthesia and to provide adequate postoperative analgesia. It provides good intraoperative conditions with adequate postoperative analgesia with least hemodynamic alterations in high-risk cases, especially IHD.


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