Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2770043 | Revista de la Sociedad Española del Dolor | 2009 | 22 Pages |
Abstract
a) In peripheral arterial ischemia caused by vasospastic disorders, inflammatory disorders or small vessel thrombosis, maximal analgesic and trophic therapeutic effects can be achieved from epidural administration of local anesthetics; b) in some patients with non-reconstructible critical limb ischemia, spinal cord stimulation can represent the last therapeutic option to avoid limb amputation, with acceptable associated pain relief, and c) there are still myths on the use of epidural analgesia in peripheral arterial ischemia, such as its possible protective effect against systemic complications in anesthetic revascularization procedures or its role in the prevention of post-amputation pain, which have not been demonstrated in the scientific studies published to date.
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Authors
M.J. Orduña González, C. López Carballo, E. Camblor Suárez, M. López Rouco,