scholarly journals Psychological determinants of the attitude towards vascular interventions in patients with lower limb ischaemia

2021 ◽  
Author(s):  
Michał-Goran Stanišić ◽  
Teresa Rzepa ◽  
Natalia Szmatuła
Keyword(s):  
Lower Limb ◽  
Limb Ischaemia ◽  
Lower Limb Ischaemia ◽  
Psychological Determinants

Acute complications in the post-anaesthesia care unit after infrainguinal surgery for lower limb ischaemia – a prospective observational cohort study

VASA ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 89-97
Author(s):  
Karin Yeung ◽  
Jonas Peter Eiberg ◽  
Henrik Kehlet ◽  
Eske Kvanner Aasvang
Keyword(s):  
Lower Limb ◽  
Severe Pain ◽  
Observational Cohort Study ◽  
Limb Ischaemia ◽  
Post Anaesthesia Care Unit ◽  
Lower Limb Ischaemia ◽  
Acute Complications ◽  
Observational Cohort ◽  
Anaesthesia Care ◽  
Pacu Stay

Abstract. Background: Arterial surgery for lower limb ischaemia is a frequently performed procedure in patients with severe cardio-pulmonary comorbidities, making them high-risk patients for acute postoperative complications with a need for prolonged stay in the post-anaesthesia care unit (PACU). However, detailed information on complications during the PACU stay is limited, hindering mechanism-based interventions for early enhanced recovery. Thus, we aimed to systematically describe acute complications and related risk factors in the immediate postoperative phase after infrainguinal arterial surgery. Patients and methods: Patients transferred to the PACU after infrainguinal arterial surgery due to chronic or acute lower limb ischaemia were consecutively included in a six-month observational cohort study. Pre- and intraoperative data included comorbidities as well as surgical and anaesthetic technique. Data on complications and treatments in the PACU were collected every 15 minutes using a standardised assessment tool. The primary endpoint was occurrence of predefined moderate or severe complications occurring during PACU stay. Results: In total, 155 patients were included for analysis. Eighty (52 %) patients experienced episodes with oxygen desaturation (< 85 %) and moderate or severe pain occurred in 72 patients (47 %); however, circulatory complications (hypotension, tachycardia) were rare. Preoperative opioid use was a significant risk factor for moderate or severe pain in PACU (59 vs. 38 % chronic vs. opioid naïve patients (P = 0.01). Conclusions: Complications in the PACU after infrainguinal arterial surgery relates to saturation and pain, suggesting that future efforts should focus on anaesthesia and analgesic techniques including opioid sparing regimes to enhance early postoperative recovery.

Preliminary Experience with Defibrotide in Severe Lower Limb Ischaemia

1986 ◽  
Vol 16 (1) ◽  
pp. 63-66
Author(s):  
J.S.K. Gelister ◽  
W.E. James ◽  
J.A. Fox
Keyword(s):  
Lower Limb ◽  
Limb Ischaemia ◽  
Lower Limb Ischaemia

Endovascular arterialization of deep crural and pedal veins in a patient with critical lower limb ischaemia

2021 ◽  
Vol 27 (3) ◽  
pp. 54
Author(s):  
An. V. Eroshenko ◽  
I. A. Eroshkin ◽  
E. A. Zubova ◽  
A. O. Kovylov ◽  
L. S. Krasnoshchekova
Keyword(s):  
Lower Limb ◽  
Limb Ischaemia ◽  
Lower Limb Ischaemia

Lower limb ischaemia-reperfusion injury alters gastrointestinal structure and function

1997 ◽  
Vol 84 (10) ◽  
pp. 1425-1429 ◽  
Author(s):  
M. M. I. Yassin ◽  
A. A. B. Barros D'Sa ◽  
T. G. Parks ◽  
M. D. McCaigue ◽  
P. Leggett ◽  
...  
Keyword(s):  
Reperfusion Injury ◽  
Lower Limb ◽  
Structure And Function ◽  
Limb Ischaemia ◽  
Ischaemia Reperfusion Injury ◽  
Lower Limb Ischaemia ◽  
Ischaemia Reperfusion ◽  
And Function
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