ISSN: 2155-6148
Department of Anesthesiology, University Institute of Technology, West Bengal, India
Short Communication
Nerve Stimulator Guided Combined Lumbar and Sacral Plexus Blockade in a
Geriatric Patient with Aortic Stenosis
Author(s): Shiladitya Bose*
Administering anaesthesia to patients with preexisting cardiac disease is an interesting challenges especially those with
valvular heart disease. Aortic Stenosis (AS) is an important valvular lesion in anesthesia as patients are at an increased
risk of perioperative cardiac events but they can undergo non-cardiac surgery relatively safely provided that the
condition is recognized and appropriate monitoring and management is put in place, such as prevention of
hypotension and any hemodynamic change that will decrease cardiac output.
Traditionally, neuraxial blockade has been contraindicated in these patients because of sudden and potentially
profound decrease in systemic vascular resistance which may precipitate life-threatening compromise in coronary
perfusion. Peripheral nerve blocks may provide ideal perioperative analgesia for these patients because they are n.. View More»