Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2019; 7(17): 2567-2572
Published online Sep 6, 2019. doi: 10.12998/wjcc.v7.i17.2567
Ultrasound-guided fascia iliaca compartment block combined with general anesthesia for amputation in an acute myocardial infarction patient after percutaneous coronary intervention: A case report
Chen Ling, Xing-Qing Liu, Yi-Qun Li, Xian-Jie Wen, Xu-Dong Hu, Kai Yang
Chen Ling, Xing-Qing Liu, Yi-Qun Li, Xian-Jie Wen, Xu-Dong Hu, Kai Yang, Department of Anesthesiology, Affiliated Foshan Hospital of Southern Medical University and Second People's Hospital of Foshan, Foshan 528000, Guangdong Province, China
Author contributions: Ling C, Liu XQ and Li YQ contributed equally to this work. Ling C collected the case data and administered the anesthesia; Li YQ formulated the surgery regimen and administered the surgery; Liu XQ collected the case data and administered the anesthesia; Wen XJ formulated the anesthesia regimen, guided the anesthesia, and wrote the manuscript; Hu XD and Yang K administered the anesthesia.
Informed consent statement: Informed consent was obtained from the patient to publish relevant data.
Conflict-of-interest statement: The authors declare that there is no conflict of interest regarding the publication of this paper.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016) and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Xian-Jie Wen, MD, Doctor, Chief Physician of Anesthesiology, Department of Anesthesiology, Affiliated Foshan Hospital of Southern Medical University and Second People's Hospital of Foshan, No. 78, Weiguo Road, Chancheng District, Foshan 528000, Guangdong Province, China. xjwen166@126.com
Telephone: +86-15899807105 Fax: +86-757-88032178
Received: April 9, 2019
Peer-review started: April 12, 2019
First decision: May 31, 2019
Revised: June 30, 2019
Accepted: July 20, 2019
Article in press: July 20, 2019
Published online: September 6, 2019
Abstract
BACKGROUND

Fascia iliaca compartment block is a technique that blocks three nerves, similar to a 3-in-1 nerve block. This block provides analgesia for patients undergoing lower limb surgery, and is a simple technique that is easy to implement. Here, we report a case of fascia iliaca compartment block in a patient with myocardial infarction who underwent emergency middle thigh amputation.

CASE SUMMARY

A 78-year-old female patient weighing 38 kg with gangrene and occlusive peripheral atherosclerosis of the right leg underwent an emergency middle thigh amputation. The patient had a history of hypertension, coronary heart disease, cerebral infarction, anterior wall myocardial infarction, and had recently undergone percutaneous coronary intervention consisting of coronary angiography and right coronary artery stent implantation. Considering the patient's condition, an ultrasound-guided fascia iliaca compartment block combined with general anesthesia was implemented for amputation. The fascia iliaca compartment block provided analgesia for the operation, and reduced the dosage of general anesthetics. It also alleviated adverse cardiovascular effects caused by pain stress, and ensured the safety of the patient during the perioperative period. This block also provided postoperative analgesia. The patient had a good prognosis, and was subsequently discharged from hospital.

CONCLUSION

Fascia iliaca compartment block provides surgical analgesia. It also alleviates adverse cardiovascular effects, and ensures patient safety during the perioperative period.

Keywords: Ultrasound-guided, Fascia iliaca compartment block, Acute myocardial infarction, Case report, Percutaneous coronary intervention

Core tip: Ultrasound-guided fascia iliaca compartment block combined with general anesthesia can provide better intraoperative analgesia for thigh surgery, reduce the dosage of general anesthetics, and alleviate the adverse cardiovascular effects caused by pain stress. In this case report, we describe the effects of fascia iliaca compartment block in a patient with myocardial infarction who underwent an emergency middle thigh amputation. Use of this block ensured the safety of the patient during the perioperative period.