Cic edizioni internazionali
Il Giornale di Chirurgia

The use of local anesthesia to perform lower limb revascularization in the fragile patient with critical limb ischemia

Original Article, 77 - 81
doi: 11138/gchir/2018.39.2.077
Tag this article
Abstract
Full text PDF
Patients with critical limb ischemia are usually compromised, frequently making administration of general or regional anesthesia problematic. We treated 3 fragile patients presenting contraindications to undertake traditional anesthetic techniques for lower limb revascularization, in whom local anesthesia with conscious sedation was used to complete the operation. An axillo-bifemoral, a unilateral axillo-femoral and a femoro-femoral bypass were performed. Procedure was uneventful in all three cases despite the coexistence of specific surgical challenges (distal anastomosis at the profunda in two cases, redo surgery and scarred groin in the third). Surgical revascularization under local anesthesia may be considered in selected high risk patients.

Vol. XXXIX (No. 5) 2018 September - October

  1. Hospital doors under pressure; policies and trends in the major tertiary care hospital in Albania
    Akshija I., Dibra A.
    doi: 10.11138/gchir/2018.39.5.265
  2. A probable case of doping in an Olympic athlete coming back from ancient Greece (V cent. B.C.)
    Baggieri G.
    doi: 10.11138/gchir/2018.39.5.272
  3. Transoral video assisted thyroidectomy: a systematic review
    Tartaglia F., Maturo A., Di Matteo F.M., De Anna L., Karpathiotakis M., Pelle F., Tromba L., Carbotta S., Carbotta G., Biancucci A., Galiffa G., Livadoti G., Falbo F., Esposito A., Donello C., Ulisse S.
    doi: 10.11138/gchir/2018.39.5.276
  4. Multidrug-resistant Gram-negative osteomyelitis: a 10-year study
    Koutserimpas C., Samonis G., Plataki M.N., Bikis C., Kontakis G., Kofteridis D.P.
    doi: 10.11138/gchir/2018.39.5.284
  5. IONM and minimally invasive videoassisted thyroidectomy
    Del Rio P., Cozzani F., Nisi P.C., Loderer T., Piva G., Bonati E.
    doi: 10.11138/gchir/2018.39.5.291
  6. The management of the slow transit constipation in the laparoscopic era
    De Marco P., Militello G., Tutino R., Trapani A., Rizzo G., Kabhuli K., Falco N., Licari L., Salamone G., Gulotta G.
    doi: 10.11138/gchir/2018.39.5.297
  7. Transanal repair of rectocele with high frequency radio scalpel
    Sforza D., Belardi C., Pellicciaro M., Filingeri V.
    doi: 10.11138/gchir/2018.39.5.303
  8. Is human fibrin sealant a possible choice for the fixation of laparoscopic inguinal hernia repair? A single center experience and the analysis of the results after 326 TAPP in two years
    Sartori A., De Luca M., Clemente N., De Luca A., Scaffidi G., Vendramin E., Campagnaro C.
    doi: 10.11138/gchir/2018.39.5.309
  9. Spontaneous bladder rupture mimicking a jejuno-ileal perforation
    Monsellato I., Morello A., Argenio G., Canepa M.C., Lenti L.M., Priora F.
    doi: 10.11138/gchir/2018.39.5.315
  10. Acute diverticulitis in patients under 50 years of age
    Spiridakis K.G., Intzepogazoglou D.S., Flamourakis M.E., Sfakianakis E.E., Gkionis I.G., Strataki K.G., Tsagataki E.S., Kostakis G.E., Christodoulakis M.S.
    doi: 10.11138/gchir/2018.39.5.319
  11. Mesothelial cyst of the round ligament
    Apostolakis S., Ioannidis A., Koutserimpas C., Patrikakos P., Perrakis A., Velimezis G.
    doi: 10.11138/gchir/2018.39.5.323
  12. Fibrin sealant agents: clinical application of TachoSil® in abdominal surgery. Six years experience in an emergency surgery department and review of the literature
    Fontana T., Silvestri V., Falco N., Venturelli P., Licari L., De Marco P., Gulotta E., Gulotta L., Cocorullo G.
    doi: 10.11138/gchir/2018.39.5.326
  13. Sindrome del tunnel carpale, neuroprotezione e attività antalgica con L-acetil-carnitina
    Zenorini A.
    doi: 10.11138/gchir/2018.39.5.331
Last Viewed articles: la lista degli ultimi x visitati.
  1. The use of local anesthesia to perform lower limb revascularization in the fragile patient with critical limb ischemia
    Kontopodis N., Papaioannou A., Tavlas E., Papadopoulos G., Lioudaki S., Tzirakis K., Ioannou C.V.
    doi: 11138/gchir/2018.39.2.077
credits