REGIONAL BLOCKADES AS A COMPONENT OF MULTIMODAL ANESTHESIA AND ANALGESIA IN AXILLOBIFEMORAL SHUNTING
DOI:
https://doi.org/10.32782/2411-9164.19.1-1Keywords:
Pecs II, Fascia iliaca compartment block, multimodal anesthesia, regional blocks, vascular surgeryAbstract
The main method of treatment for patients with severe limb ischemia is surgical revascularization, the purpose of which is to bypass the blockage of an occluded large vessel by creating an alternative path of blood flow with the help of an artificial graft. Surgical revascularization, including axillobifemoral bypass (AXFBG), aims to relieve symptoms, reduce the risk of adverse cardiovascular events, and preserve limb function. The modern development of regional anesthesia under ultrasound control allows to effectively anesthetize of patients in the intra- and postoperative period and for the reduction or completely abandon the use of narcotic analgesics, which speeds up the patient’s recovery period after surgery. Taking into account the anatomical sites-areas of AXFBG surgery, regional anesthesia can be chosen as the type of anesthesia: Pecs II thoracic nerve block, and Fascia iliaca compartment block, which have proven to be effective as a component of multimodal anesthesia and analgesia.
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