Autor: |
Ovechkin AM, Khmel'kova EIu, Gnezdilov AV, Gur'eva IV, Voronin AV, Kudriavtsev NG, Panteleev MI |
Jazyk: |
ruština |
Zdroj: |
Khirurgiia [Khirurgiia (Mosk)] 1999 (10), pp. 57-9. |
Abstrakt: |
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. |
Databáze: |
MEDLINE |
Externí odkaz: |
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