Ultrasound Guided Axillary block for vascular surgery on the Upper Extremite

Peripheral vascular surgery due to prolonged duration of surgery and itP,Ps association with blood loss is a challenging setting in anesthetic practice. Furthermore because of high incidence of comorbidities, diabetes mellitus (DM), hypertension (HTN) older age, Chronic Kidney Disease (CKD), cardiac arrhythmia and long term or recent anticoagulation Therapy, These PatientP,Ps are as a high risk group. Selection of the most appropriate anesthetic method with, the less hemodynamic disturbance, is of major importance,in increasing patientsurvival, reducing hospitalization. In addition ofthis patient, Two other patients having all risk factor mentioned above, undergone vascular embolectomy and discharged the next day.