[Anesthesia in surgical treatment of pyo-necrotic forms of diabetic foot].
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.
Ovechkin
A M
AM
Khmel'kova
E Iu
EIu
Gnezdilov
A V
AV
Gur'eva
I V
IV
Voronin
A V
AV
Kudriavtsev
N G
NG
Panteleev
M I
MI
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