Prolonged epidural infusion in preoperative treatment of patients with a critical ischemia of the legs in case of the chronic pain
Abstract
The analysis of treatment of a pain syndrome in a complex of preoperative treatment at 60 patients with a critical ischemia of the legs is done. We used the epidural anesthesia of the Ropivacain (control), epidural anesthesia and intramuscular Ketoprophen (1st group), and also epidural anesthesia, Ketoprophen and analgetic doze of the Kethamine (2nd group). It is shown, that multimodal and preventive method of preoperative treatment statistically significantly improves the peripheral blood flow, and also allows influencing the pathogenesis of the chronic ischemic pain syndrome due to effective efferent blockade, anti-prostaglandine action of the Ketoprophen and blockade of NM DA-receptors.
About the Authors
A. Yu. Novikov
Primorsky Regional Hospital No. 1 (Vladivostok)
Russian Federation
Russian Federation
I. E. Golub
Irkutsk State Medical University
Russian Federation
Russian Federation
K. V. Maistrovskiy
Primorsky Regional Hospital No. 1 (Vladivostok)
Russian Federation
Russian Federation
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Review
For citations:
Novikov A.Yu., Golub I.E., Maistrovskiy K.V. Prolonged epidural infusion in preoperative treatment of patients with a critical ischemia of the legs in case of the chronic pain. Pacific Medical Journal. 2008;(1):46-48. (In Russ.)
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