Regional anesthesia for vascular surgery

Patients presenting for vascular surgery present a challenge to anesthesiologists because of their severe systemic comorbidities. Regional anesthesia has been used as a primary anesthetic technique for many vascular procedures to avoid the cardiovascular and pulmonary perturbations associated with g...

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Bibliographic Details
Published inAnesthesiology clinics Vol. 32; no. 3; p. 639
Main Authors Flaherty, James, Horn, Jean-Louis, Derby, Ryan
Format Journal Article
LanguageEnglish
Published United States 01.09.2014
Subjects
Anesthesia, Conduction - methods
Aortic Aneurysm, Abdominal - surgery
Humans
Nerve Block - methods
Vascular Surgical Procedures - methods
Perioperative outcomes
Vascular surgery
Regional anesthesia
Lumbar and lumbosacral plexus blockade
Cervical plexus blockade
Transversus abdominis plane block
Brachial plexus blockade
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Summary:Patients presenting for vascular surgery present a challenge to anesthesiologists because of their severe systemic comorbidities. Regional anesthesia has been used as a primary anesthetic technique for many vascular procedures to avoid the cardiovascular and pulmonary perturbations associated with general anesthesia. In this article the use of regional anesthesia for carotid endarterectomy, open and endovascular abdominal aortic aneurysm repair, infrainguinal arterial bypass, lower extremity amputation, and arteriovenous fistula formation is described. A focus is placed on reviewing the literature comparing anesthetic techniques, with brief descriptions of the techniques themselves.
ISSN:1932-2275
DOI:10.1016/j.anclin.2014.05.002