Author/Editor		Krčevski-Škvarč, N; Kamenik, M; Flis, V
Title		Zdravljenje kritične kronične ishemije spodnjega uda pri bolniku z akutnim miokardnim infarktom
Type		članek
Source		In: Flis V, editor. Zbornik Kirurgija notranje karotide, anevrizme arterij, kritična kronična ishemija; 1995 okt 13-14; Maribor. Maribor: Zdravniško društvo Slovenije,
Publication year		1995
Volume		str. 103-6
Language		slo
Abstract		Patient with critical chronical ischaemia (CCI) could be treated either surgicaly or with techniques of the invasive radiology. High risk patients could be treated also by different conservative or semiconservative means, but results are doubtfull. A high risk patient with CCI and three weeks old myocardial infarction is presented, where epidural analgesia and simpaticolysis were used to overcome eight months time interval, after which patient underwent successfull surgical reconsructive procedure. Two times daily 10 ml 0.16% bupivacain with 3 mg of methadone were administred. There were no complications during the months interval, except the unintentional (three times) removal of the cathether. It is concluded that epidural simpaticolysis and analgesia are the treatment of choice in high risk patients with CCI but without the wet gangrene.
Descriptors		LEG ISCHEMIA ARTERIAL OCCLUSIVE DISEASES MIDDLE AGE MYOCARDIAL INFARCTION ANALGESIA, EPIDURAL BUPIVACAINE METHADONE