{"title":"下肢静脉手术:神经阻滞的价值。","authors":"S Serri","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>The author describes his experience of 152 cases of saphenous veins surgery performed under sciatic and femoral blocks. These nerves were located by a nervestimulation. Femoral nerve was blocked under the inguinal ligament; the sciatic nerve is blocked by the posterior approach, at the buttocks. 152 patients, 136 cases were considered satisfactory: patients felt comfortable during and after the surgery; the stripper got up the vein more easily because of the vasoplegia; very good haemodynamic stability during changes in positioning; excellent nociceptive protection during the surgery. Sixteen cases were not satisfactory: the patient couldn't overcome his anxiety; the anaesthesiologist made technical mistakes; unbearable pain at the infero-internal face of the knee during the stripping. Considering these results, the blocks of the lower extremity could be an alternative to other anaesthetic techniques.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"44 5","pages":"441-5"},"PeriodicalIF":0.0000,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Venous surgery of the lower limb: value of nerve blocks].\",\"authors\":\"S Serri\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The author describes his experience of 152 cases of saphenous veins surgery performed under sciatic and femoral blocks. These nerves were located by a nervestimulation. Femoral nerve was blocked under the inguinal ligament; the sciatic nerve is blocked by the posterior approach, at the buttocks. 152 patients, 136 cases were considered satisfactory: patients felt comfortable during and after the surgery; the stripper got up the vein more easily because of the vasoplegia; very good haemodynamic stability during changes in positioning; excellent nociceptive protection during the surgery. Sixteen cases were not satisfactory: the patient couldn't overcome his anxiety; the anaesthesiologist made technical mistakes; unbearable pain at the infero-internal face of the knee during the stripping. Considering these results, the blocks of the lower extremity could be an alternative to other anaesthetic techniques.</p>\",\"PeriodicalId\":77055,\"journal\":{\"name\":\"Cahiers d'anesthesiologie\",\"volume\":\"44 5\",\"pages\":\"441-5\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1996-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cahiers d'anesthesiologie\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cahiers d'anesthesiologie","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
[Venous surgery of the lower limb: value of nerve blocks].
The author describes his experience of 152 cases of saphenous veins surgery performed under sciatic and femoral blocks. These nerves were located by a nervestimulation. Femoral nerve was blocked under the inguinal ligament; the sciatic nerve is blocked by the posterior approach, at the buttocks. 152 patients, 136 cases were considered satisfactory: patients felt comfortable during and after the surgery; the stripper got up the vein more easily because of the vasoplegia; very good haemodynamic stability during changes in positioning; excellent nociceptive protection during the surgery. Sixteen cases were not satisfactory: the patient couldn't overcome his anxiety; the anaesthesiologist made technical mistakes; unbearable pain at the infero-internal face of the knee during the stripping. Considering these results, the blocks of the lower extremity could be an alternative to other anaesthetic techniques.