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Revista Brasileira de Anestesiologia
On-line version ISSN 1806-907X
HELAYEL, Pablo Escovedo et al. Ultrasound-guided sciatic-femoral block for revision of the amputation stump: case report. Rev. Bras. Anestesiol. [online]. 2008, vol.58, n.5, pp. 480-484. ISSN 1806-907X. http://dx.doi.org/10.1590/S0034-70942008000500006.
BACKGROUND AND OBJECTIVES: The use of ultrasound in regional blocks has become increasingly used because its role as a facilitator and its efficacy. Direct ultrasound visualization allows the identification of peripheral nerves, independently of the ability of obtaining sensitive or motor stimulation. CASE REPORT: This is the case of a patient who underwent revision of the amputation stump at the knee under ultrasound-guided sciatic-femoral block with 40 mL of 0.5% ropivacaine, promoting complete sensitive blockade and excellent surgical anesthesia. CONCLUSIONS: Ultrasound assistance is capable of amplifying the spectrum of uses of peripheral nerve blocks in surgical interventions on amputated limbs in situations neurostimulation cannot be used.
Keywords : ANESTHESIA, Regional; ANESTHETIC TECHNIQUE, Regional [sciatic]; ANESTHETIC TECHNIQUE, Regional [femoral block]; EQUIPMENT, Ultrasound.