Surgical treatment of aortoiliac occlusive disease in patients with chronic obstructive pulmonary disease under epidural anaesthesia
Küçük Resim Yok
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Acta Medica Mediterranea
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: The morbidity and mortality rates for peripheral arterial surgery have improved with the developments in vascular surgery and anaesthesiology. We aimed to report our experience with epidural anaesthesia for surgical treatment of aortoiliac occlusive peripheral arterial disease. Materials and methods: Between January 2012 and July 2013, 7 patients with severe chronic obstructive pulmonary disease operated for peripheral arterial disease were included in the study. The epidural catheter was performed in the operating theatre on the day of surgery. Analgesic effectivity was controlled by visual analogue scale. Mean arterial pressure, heart rate and SpO2 were measured. Retroperitoneal approach was preferred in all patients. Results: Patients were all male and mean age was 58 years. The mean stay in the intensive care unit was 21 hours. The mean length of stay in the hospital postoperatively was 11 days. No complication was observed related to the epidural anaesthesia. In the postoperative follow up, two patients developed wound infection at the groin incision. They healed uneventfully with proper antibiotic treatment. Conclusion: In conclusion, patients with severe chronic obstructive pulmonary disease can be encouraged for elective aortofemoral bypass operation under epidural anaesthesia with acceptable morbidity.
Açıklama
Anahtar Kelimeler
Aortoiliac Occlusive Disease; Chronic Obstructive Pulmonary Disease; Epidural Anaesthesia, Acetylsalicylic Acid; Antibiotic Agent; Antilipemic Agent; Clopidogrel; Heparin; Adult; Aged; Antibiotic Therapy; Aorta Clamping; Aortofemoral Bypass; Article; Chronic Obstructive Lung Disease; Clinical Trial; Debridement; Elective Surgery; Epidural Anesthesia; Epidural Catheter; Female; Follow Up; Heart Rate; Hospitalization; Human; Incision; Inguinal Region; Intensive Care Unit; Intermittent Claudication; Length Of Stay; Leriche Syndrome; Major Clinical Study; Male; Mean Arterial Pressure; Operating Room; Oxygen Saturation; Peripheral Occlusive Artery Disease; Politef Implant; Retroperitoneum; Surgical Infection; Visual Analog Scale; Wound Healing
Kaynak
Acta Medica Mediterranea
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
30
Sayı
6
