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Minerva Anestesiologica 1999 October;65(10):733-6

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Sciatic, femoral and lateral cutaneous of thingh nerves block for arthroscopic extirpation of meniscus in a patient suffering from Eisen-merger syndrome. Case report

Rizzo D. 1, Giustiniano E. 1, Pellicori D. 2, Misiti C. M. 3, Cosco G. 3

1 Casa di Cura Cascini, Belvedere Marittimo (Cosenza), Servizio di Anestesia e Rianimazione; 2 Casa di Cura Cascini, Belvedere Marittimo (Cosenza), Servizio di Cardiologia; 3 Casa di Cura Cascini, Belvedere Marittimo (Cosenza), Servizio di Ortotraumatologia


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The principal complication to prevent in Eisenmerger disease with left-right shunt during surgery decreasing of systemic pressure with reduction of pulmonary perfusion and break-down of central oxigenation. A 32ys old male patient (ASA risk 3) to undergo an extirpation of meniscus by arthroscopic surgery, suffering from Eisenmerger’s syndrome with left-type only ventricle, diagnosed when he was 3ys old and but no repaired by any operation. We performed a sciatic, femoral and lateral cutaneous of thigh nerves block with ropivacaine, that consents a prolonged antalgic effect in postoperative period with minimizing of systemic and pulmonary hypotension risk compared to general, epidural or spinal anaesthesia. Basing on our experience and litteraure references we think that the anaesthesiological tecnique with the lowest risk for lower limb surgery in Eisenmerger’s syndrome is truncular block.

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