Abstract
In our hospital peripheral nerve blocks have been widely used together with general anesthesia for surgery of the lower extremities, although this is not common elsewhere. The author preferentially utilized any combination of femoral nerve block, lateral femoral cutaneous nerve block, and anterior approach or parasacral sciatic nerve block.
Because of the multiple advantages of peripheral nerve blocks, which include minimal hemodynamic alterations, comfortable emergence with superb postoperative analgesia, no urinary retention, and minimal risk of hematoma after perioperative anticoagulant therapy, they will be a useful alternative to neuraxial anesthesia for compromised patients with dementia, pain, bedsores or coagulopathy.
The availability will be recognized as an option for secure anesthesia of the lower extremities if the advancement of equipment and the opportunity for regional anesthesia training increase at the same level as the West.
