Ultrasound guided popliteal and saphenous nerve blocks for diabetic foot surgery in a morbidly obese patient

Abstract

In this case report, we shared our experience of ultrasound- guided peripheral nerve block application in a high risk patient for anesthesia undergoing diabetic foot surgery. In a patient with hypertension, diabetes mellitus, coronary artery disease popliteal and saphenous nerve blocks were performed. The blocks were performed with a 100 mm block needle, guided by ultrasound. The popliteal block was performed with 15 mL of 2% bupivacaine and 15 mL of 0.5% lidocaine with the knee in flexion and for saphenous nerve block 5 mL of 0.5% bupivacaine and 5 mL 2% lidocaine was administered. Surgery was completed without comprimising the circulatory and respiratory systems. Peripheral nerve blocks should be kept in mind as a safe alternative method of anesthesia in high risk patients.