Anesthetic management of surgical interventions in patients with diabetic foot syndrome

Abstract

Objective. To study the issues of anesthetic management of surgical interventions in patients with diabetic foot syndrome. In our work, the analysis of specialized literature and research on the anesthetic management of surgical interventions in patients with diabetic foot syndrome was performed. Most often diabetic foot syndrome (DFS) occurs in patients with severe diabetes and co-morbidities, and there are strict requirements for anesthesia safety for surgical interventions in DFS patients and minimal impact on carbohydrate metabolism and CNS functions. The results of the literature review have shown that preference is given to the regional methods of anesthesia as they allow patients to maintain a dietary pattern and insulin regimen, to reduce the risk of intraoperative complications in concomitant coronary artery disease, heart failure, cardiac arrhythmias, hypertension, renal failure, and pulmonary embolism incidence. Taking the above into account as well as cost-effectiveness and availability of modern navigation tools (for example, USD) for regional anesthesia performing, make it the most appropriate when choosing anesthesia technique in DFS patients. Conclusions. An improvement of the treatment effectiveness as a whole and patient’s long-term quality of life must be taken into consideration when choosing an anesthesia method. Based on foreign and domestic studies, it can be argued that regional anesthesia is very beneficial and best for anesthesiologists and surgeons and, above all, for patients with DFS.

Keywords

• review
• regional anesthesia
• diabetes mellitus
• diabetes foot