scholarly journals Evaluating Changes in Regional Tissue Perfusion Following Percutaneous Lower Extremity Revascularization Procedures With a Hyperspectral Image-Based Tissue Oxygenation Mapping System

2011 ◽  
Vol 54 (3) ◽  
pp. 925
Author(s):  
Dipankar Mukherjee
Keyword(s):  
Lower Extremity ◽  
Tissue Oxygenation ◽  
Hyperspectral Image ◽  
Tissue Perfusion ◽  
Mapping System ◽  
Revascularization Procedures ◽  
Lower Extremity Revascularization

Postoperative continuous catheter-infused local anesthetic reduces pain scores and narcotic use after lower extremity revascularization

Vascular ◽  
2017 ◽  
Vol 26 (3) ◽  
pp. 262-270 ◽  
Author(s):  
William Shutze ◽  
William P Shutze Jr ◽  
Purvi Prajapati ◽  
Gerald Ogola ◽  
Jordan Schauer ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Lower Extremity ◽  
Local Anesthetic ◽  
Wound Complications ◽  
X Rays ◽  
Readmission Rates ◽  
Pain Scores ◽  
Average Pain ◽  
Revascularization Procedures ◽  
Lower Extremity Revascularization

Objective Postoperative pain following lower extremity revascularization procedures is traditionally controlled with narcotic administration. However, this may not adequately control the pain and puts the patient at risk for complications from opiate use. Here we report an alternative strategy for pain management using a continuous catheter-infused local anesthetic into the operative limb. Design Retrospective case–control study. Methods Patients undergoing lower extremity revascularization procedures using continuous catheter-infused local anesthetic were compared to similar patients undergoing similar procedures during the same time period who did not receive continuous catheter-infused local anesthetic. Records were reviewed for pain scores, narcotics consumption, length of stay, need for postoperative chest X-ray, supplemental oxygen use, wound complications, and 30-day readmission. Results There were 153 patients (mean age 69.5 years) from September 2011 to December 2014 who underwent common femoral artery procedures, femoral-popliteal bypass, femoral-tibial bypass, popliteal aneurysm repair, popliteal to pedal bypass, popliteal artery thrombo-embolectomy, sapheno-popliteal venous bypass, or ilio-femoral bypass. There were no significant differences between the continuous catheter-infused local anesthetic ( n=57) and control ( n=96) groups regarding age, body mass index, cardiac history, diabetes, hypertension, and procedures performed. The continuous catheter-infused local anesthetic group showed better cumulative average pain scores, better high pain scores on postoperative days 1–3, and better average pain scores on postoperative days 2–3 ( P<0.03). The continuous catheter-infused local anesthetic group had lower median narcotics consumption on postoperative days 1–2 ( P=0.02). No differences were found in postoperative length of stay, urinary catheter use, number of postoperative chest X-rays, oxygen use, mobilization, or fever. Wound complications occurred in 8.8% of the continuous catheter-infused local anesthetic group and in 11.5% of controls (P=0.79). Readmission rates were 23% (continuous catheter-infused local anesthetic) and 21% (controls; P=0.84). Conclusion Postoperative continuous catheter-infused local anesthetic reduces pain scores and pain medication use compared to standard opiate therapy in these patients, without increasing wound complication or readmission rates. Continuous catheter-infused local anesthetic appeared to have no effect on the incidence of pulmonary complications, mobilization, or fever.

Outcome of lower extremity revascularization for peripheral artery occlusive disease: is there a difference between men and women?

Vascular ◽  
2011 ◽  
Vol 19 (2) ◽  
pp. 59-67 ◽  
Author(s):  
Keri A Seymour ◽  
Benjamin Sadowitz ◽  
Kwame S Amankwah ◽  
Vivian Gahtan
Keyword(s):  
Lower Extremity ◽  
Perioperative Complications ◽  
The Elderly ◽  
Occlusive Disease ◽  
Term Survival ◽  
Peripheral Artery Occlusive Disease ◽  
Peripheral Arterial ◽  
Revascularization Procedures ◽  
Lower Extremity Revascularization

The incidence of peripheral arterial occlusive disease (PAD) increases with age. Women represent a growing percentage of the elderly population who present with PAD. While speculation exists that gender affects outcome after revascularization procedures, the literature is confusing and often conflicting. This review compares outcomes by gender after open surgical and endovascular lower extremity revascularization (LER) procedures including: demographic differences, patency rates, limb salvage rates, long-term survival, perioperative complications and 30-day mortality. This review summarizes the existing data and discusses current influences on outcome after LER.

Surgical Site Infections after Lower Extremity Revascularization Procedures Involving Groin Incisions

2014 ◽  
Vol 28 (1) ◽  
pp. 53-58 ◽  
Author(s):  
SreyRam Kuy ◽  
Anahita Dua ◽  
Sapan Desai ◽  
Arshish Dua ◽  
Bhavin Patel ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Surgical Site Infections ◽  
Revascularization Procedures ◽  
Lower Extremity Revascularization

An Intrathecal Fentanyl Dose-Response Study in Lower Extremity Revascularization Procedures

1994 ◽  
Vol 81 (6) ◽  
pp. 1371-1375 ◽  
Author(s):  
Scott S. Reuben ◽  
Steven M. Dunn ◽  
Karen Marie Duprat ◽  
Patricia O'Sullivan
Keyword(s):  
Lower Extremity ◽  
Dose Response ◽  
Revascularization Procedures ◽  
Dose Response Study ◽  
Lower Extremity Revascularization
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