THE EFFECT OF EPIDURAL ANESTHESLA IN PAIN CONTROL AND WOUND HEALING IN PATIENTS WITH BUERGER'S, DISEASE

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NOORI A.

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Journal: Journal of Medical Council of Iran Year:2001 | Volume:19 | Issue:1 Page(s): 34-38

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Title

THE EFFECT OF EPIDURAL ANESTHESLA IN PAIN CONTROL AND WOUND HEALING IN PATIENTS WITH BUERGER'S, DISEASE

Author(s)

NOORI A. | Issue Writer Certificate

Keywords

BUERGER'S DISEASEQ4

EPIDURAL ANESTHESIAQ4

PAIN MANAGEMENTQ4

Abstract

BUERGER'S DISEASE is a kind of obstructive vascular disease specially occurring in the lower limbs and appears to have a high prevalence in the eastern countries. Because of a lack of knowledge of its definite etiology, its treatment is usually accompanied by multiple amputations and failures. Various methods have been used to control pain and healing of extremities' wounds in those affected with BUERGER'S DISEASE. The objective of this study was to assess to the degree of efficacy of EPIDURAL ANESTHESIA in the control of pain and wound healing in these patients.In this experimental study, 17 patients with BUERGER'S DISEASE were hospitalized in the surgical ward and after conducting the primary conservative measures, an EPIDURAL ANESTHESIA was initiated after placing an epidural catheter and injecting marcaine at intervals of 4 hours. The degree of pain and wound healing were evaluated and compared before and after the procedure and then at 2 weeks interval. 16(94%) patients reported a reduction in pain and warning of extremities soon after placement of the catheter and injection of marcaine. Two weeks later, in 88% of the patients, there had been a relative or absolute improvement in lower extremity wounds. At discharge, 15 patients did not complain of pain and could walk comfortably. 9 of the patients had undergone surgical sympathectomy but had proved in vain in controlling the disease.Epidural anesthesia in the acute stage of BUERGER'S DISEASE by speedy reduction in pain can bring about early ambulation if hygienic conditions of the extremity are observeal and thus can prevent the progression of the lesions. Further studies are needed to determine the mechanism and effect of this procedure.

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APA: Copy

NOORI, A.. (2001). THE EFFECT OF EPIDURAL ANESTHESLA IN PAIN CONTROL AND WOUND HEALING IN PATIENTS WITH BUERGER'S, DISEASE. JOURNAL OF MEDICAL COUNCIL OF I.R.I., 19(1), 34-38. SID. https://sid.ir/paper/41459/en

Vancouver: Copy

NOORI A.. THE EFFECT OF EPIDURAL ANESTHESLA IN PAIN CONTROL AND WOUND HEALING IN PATIENTS WITH BUERGER'S, DISEASE. JOURNAL OF MEDICAL COUNCIL OF I.R.I.[Internet]. 2001;19(1):34-38. Available from: https://sid.ir/paper/41459/en

IEEE: Copy

A. NOORI, “THE EFFECT OF EPIDURAL ANESTHESLA IN PAIN CONTROL AND WOUND HEALING IN PATIENTS WITH BUERGER'S, DISEASE,” JOURNAL OF MEDICAL COUNCIL OF I.R.I., vol. 19, no. 1, pp. 34–38, 2001, [Online]. Available: https://sid.ir/paper/41459/en

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