NEW APPROACHES OF PAIN MANAGEMENT OF PATIENTS WITH ATHEROSCLEROSIS OBLITERANS OF THE LOWER LIMBS, WHICH WAS OPERATED BY ENDOVASCULAR BALONPLASTICS
DOI:
https://doi.org/10.11603/1681-2786.2015.2.5611Keywords:
critical ischemia of the lower limbs, endovascular balonplastics, epidural analgesia, Buprenorphine.Abstract
Purpose. In order to optimize the intraoperative anesthesia tactics we used epidural anesthesia.
Materials and methods. There were 40 patients. They were randomized into 2 groups of 20 people. Patients of I group performed analgosedation, group – II epidural analgesia.
Results. The use of epidural anesthesia sol. 0.125% bupivacaine in the volume of 30 ml with the addition of 0.12 mg of sol. Buprenorphine provided adequate levels of both intra- and postoperative analgesia of balonplastics of obliterating atherosclerosis of the lower limbs.
References
Inter-society consensus for the management of peripheral arterial disease (TASC II) / Norgren L. [et al.] // European Journal of Vascular and Endovascular Surgery. – 2007. – Т. 33, №. 1. – С. 1–75.
Savel'yev V. S. Kriticheskaya ishemiya nizhnikh konechnostey / V. S. Savel'yev, V. M. Koshkin. – M., 1997. – 123 s.
Osnovnyye printsipy diagnostiki i ambulatornogo lecheniya obliteriruyushchego ateroskleroza arteriy nizhnikh konechnostey / Kuznetsov M. R. [i dr.] // RMZH. – 2012. – T. 20, № 36. – S. 1733–1737.
Lazareva M. A. Zabolevaniya perifericheskikh arteriy, arteriol i kapillyarov : uchebn. posob. dlya ambulatorno-poliklinicheskikh khirurgov / M. A. Lazareva, A. YU. Matskikh, M. A. Lazareva. – Yekaterinburg : uGMu, 2014. – 88 s.
Varu V. N. Critical limb ischemia / V. N. Varu, M. E. Hogg, M. R. Kibbe // Journal of vascular surgery. – 2010. – Т. 51, №. 1. – С. 230–240.
Coats P. Marriage of resistance and conduit arteries breeds critical limb ischemia / P. Coats, R. Wadsworth // American Journal of Physiology-Heart and Circulatory Physiology. – 2005. – Т. 288, №. 3. – С. H1044-H1050.
Statins are independently associated with reduced mortality in patients undergoing infrainguinal bypass graft surgery for critical limb ischemia / Schanzer A. [et al.] // Journal of vascular surgery. – 2008. – Т. 47, №. 4. – С. 774–781.
Heart Protection Study Collaborative Group et al. Randomized trial of the effects of cholesterol-lowering with simvastatin on peripheral vascular and other major vascular outcomes in 20,536 people with peripheral arterial disease and other high-risk conditions // Journal of Vascular Surgery. – 2007. – Т. 45, №. 4. – С. 645–654.
A randomized, controlled pilot study of autologous CD34+ cell therapy for critical limb ischemia / Losordo D. W. [et al.] // Circulation: Cardiovascular Interventions. – 2012. – Т. 5, № 6. – С. 821–830.
Parenteral therapy with lipo-ecraprost, a lipid-based formulation of a PGE1 analog, does not alter six-month outcomes in patients with critical leg ischemia / Brass E. P. [et al.] // Journal of vascular surgery. – 2006. – Т. 43, № 4. – С. 752–759.
Results of the randomized, placebo-controlled clopidogrel and acetylsalicylic acid in bypass surgery for peripheral arterial disease (CASPAR) trial / Belch J. J. F. [et al.] // Journal of vascular surgery. – 2010. – Т. 52, №. 4. – С. 825–833.
Chapter IV: treatment of critical limb ischaemia / Setacci C., de Donato G., Teraa M. [et al.] // Europian Journal of Vascular and Endovascular Surgrery. – 2011. –T. 42 (Suppl. 2). – C. 43–59.
Anesteziolohiya ta intensyvna terapiya : pidr. dlya likariv-interniv ta slukhachiv vyshchykh navchalʹnykh medychnykh zakladiv III–IV rivniv akredytatsiyi ta zakladiv pislyadyplomnoyi osvity / za red. prof. I. P. Shlapaka. – Kyyiv. : Nika Print, 2013. – 550 s.
Tawfic Q. A. Ultra-low-dose ketamine infusion for ischemic limb pain / Q. A. Tawfic, N. Eipe, J. Penning // Canadian Journal of Anesthesia/Journal canadien d'anesthésie. – 2014. – Т. 61, № 1. – С. 86–87
Low-dose ketamine vs morphine for acute pain in the ED: a randomized controlled trial / Miller J. P. [et al.] // The American journal of emergency medicine. – 2015. – Т. 33, №. 3. – С. 402–408.
Comparison of intravenous lidocaine versus morphine in alleviating pain in patients with critical limb ischaemia / Vahidi E. [et al.] // Emergency medicine journal. – 2014.
The Clinical Relationship Between Body Mass Index And Mortality In Patients With Critical Limb Ischemia Undergoing Endovascular Treatment / Murata N. [et al.] // Journal of the American College of Cardiology. – 2014. – Т. 63, № 12.
Rapidly progressing fatal reperfusion syndrome caused by acute critical ischemia of the lower limb / Szijártó A. [et al.] // Cardiovascular Pathology. – 2013. – Т. 22, № 6. – С. 493–500.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
