ULTRASOUND-GUIDED PERIPHERAL NERVE BLOCK FOR LOWER LIMB SURGERY IN A PATIENT WITH SEVERE LEFT VENTRICULAR DYSFUNCTION: A CASE REPORT

Abstract

Background: Managing patients with markedly reduced cardiac ejection fraction for surgery poses significant anesthetic challenges, especially regarding hemodynamic stability. Ultrasound-guided nerve blocks represent a safe regional anesthesia alternative in such high-risk cases.

Case Presentation: We describe the perioperative management of a 53-year-old male with an ejection fraction of 28% who underwent a nodovenous shunt procedure for bilateral lower limb filariasis. Regional anesthesia using ultrasound-guided sacral plexus and saphenous nerve blocks was employed, resulting in stable intraoperative vital signs and an uneventful recovery.

Conclusions: Ultrasound-guided regional anesthesia can provide reliable intraoperative conditions and rapid

ostoperative recovery for patients with compromised cardiac function.