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Effect of regional anaesthesia combined with intravascular laser irradiation of blood on heart rate variability and neurovegetative regulation in patients with chronic critical lower limb ischemia

Abstract

The authors have conducted the follow-ups of 85 patients with atherosclerotic damage of the magistral arteries of lower limbs and chronic IIb-IV stage lower limb ischemia according to Pokrovsky-Fountain classification. 30 patients underwent standard epidural anaesthesia, 25 patients were operated under epidural block combined with the intravascular laser irradiation of blood (ILIB). The 3rd group (30 patients) underwent combined spinal and epidural anaesthesia combined with ILIB. As reported, the spinal and epidural anaesthesia combined with ILIB allowed stability of neuroreflectory and vegetative regulation of the cardiovascular system.

About the Authors

I. E. Golub
Irkutsk State Medical University
Russian Federation


A. V. Kovyirshin
Irkutsk State Medical University
Russian Federation


L. V. Sorokina
Irkutsk State Medical University
Russian Federation


A. Yu. Novikov
Primorsky Regional Clinical Hospital No. 1
Russian Federation


E. S. Netesin
Irkutsk State Medical University
Russian Federation


References

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Review

For citations:


Golub I.E., Kovyirshin A.V., Sorokina L.V., Novikov A.Yu., Netesin E.S. Effect of regional anaesthesia combined with intravascular laser irradiation of blood on heart rate variability and neurovegetative regulation in patients with chronic critical lower limb ischemia. Pacific Medical Journal. 2012;(3):44-46. (In Russ.)

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ISSN 1609-1175 (Print)