title: [Anesthesia in surgical treatment of pyo-necrotic forms of diabetic foot].
abstract: Examinations of 48 patients with the syndrome of "diabetic foot" (IV-V degree according to Wagner classification), have shown advantages of prolonged epidural anesthesia (EA) carried out during pre-, intra-, and postoperative (6-7 days) period. This method has relieved pain during postoperative period with minimal impact on carbohydrate metabolism and central hemodynamics. Moreover prolonged EA is a basic prophylactic method against the development of phantom painful syndrome in patients with amputated extremity. The prolonged postoperative EA is a reliable method for modification of surgical stress-response, being especially important in patient, afflicted with a severe form of diabetes mellitus who represent a high surgical and anesthesiological risk group.
authors.forename: A M
authors.initials: AM
authors.lastname: Ovechkin
authors.forename: E Iu
authors.initials: EIu
authors.lastname: Khmel'kova
authors.forename: A V
authors.initials: AV
authors.lastname: Gnezdilov
authors.forename: I V
authors.initials: IV
authors.lastname: Gur'eva
authors.forename: A V
authors.initials: AV
authors.lastname: Voronin
authors.forename: N G
authors.initials: NG
authors.lastname: Kudriavtsev
authors.forename: M I
authors.initials: MI
authors.lastname: Panteleev
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000767:Anesthesia, Epidural / Q000379:methods*; D017719:Diabetic Foot / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009336:Necrosis; D010147:Pain Measurement; D013492:Suppuration; D013514:Surgical Procedures, Operative; D016896:Treatment Outcome