Ultrasound Guided Femorosciatic Block for Diabetic Foot Ulcer in a Psychiatric Patient with Sepsis, Anaemia and Coagulation Defect
Diabetes mellitus is a metabolic disorder of multiple etiology characterized by chronic hyperglycemia with disturbances in carbohydrate, fat and protein metabolism, due to defect in insulin secretion, insulin action or both. Complications of Diabetes mellitus are macrovascular (coronary artery dise...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2022-07-01
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| Series: | Archives of Anesthesia and Critical Care |
| Subjects: | |
| Online Access: | https://aacc.tums.ac.ir/index.php/aacc/article/view/440 |
| _version_ | 1798042067224494080 |
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| author | Jyoti P Deshpande Pooja R Jadhao |
| author_facet | Jyoti P Deshpande Pooja R Jadhao |
| author_sort | Jyoti P Deshpande |
| collection | DOAJ |
| description |
Diabetes mellitus is a metabolic disorder of multiple etiology characterized by chronic hyperglycemia with disturbances in carbohydrate, fat and protein metabolism, due to defect in insulin secretion, insulin action or both. Complications of Diabetes mellitus are macrovascular (coronary artery disease, peripheral vascular disease), microvascular (diabetic nephropathy, neuropathy and retinopathy), electrolyte and metabolic derangements. Foot ulcer is a common complication of diabetes mellitus with deranged Blood Sugar Level, which needs debridement or amputation. As central neuraxial block is contraindicated and general anaesthesia is risky in our patient due to coagulation abnormalities, anaemia, sepsis and left lung pneumonia. Hence, we planned for femorosciatic block.
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| first_indexed | 2024-04-11T22:30:20Z |
| format | Article |
| id | doaj.art-7e45d1b036a14b28b1ef1fb7f23842fb |
| institution | Directory Open Access Journal |
| issn | 2423-5849 |
| language | English |
| last_indexed | 2024-04-11T22:30:20Z |
| publishDate | 2022-07-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Archives of Anesthesia and Critical Care |
| spelling | doaj.art-7e45d1b036a14b28b1ef1fb7f23842fb2022-12-22T03:59:26ZengTehran University of Medical SciencesArchives of Anesthesia and Critical Care2423-58492022-07-018410.18502/aacc.v8i4.10184Ultrasound Guided Femorosciatic Block for Diabetic Foot Ulcer in a Psychiatric Patient with Sepsis, Anaemia and Coagulation DefectJyoti P Deshpande0Pooja R Jadhao1Department of Anaesthesiology and Critical Care, Smt Kashibai Navale Medical College and General Hospital Narhe-Pune, MUHS University, Nashik, India.Department of Anaesthesiology and Critical Care, Smt Kashibai Navale Medical College and General Hospital Narhe-Pune, MUHS University, Nashik, India. Diabetes mellitus is a metabolic disorder of multiple etiology characterized by chronic hyperglycemia with disturbances in carbohydrate, fat and protein metabolism, due to defect in insulin secretion, insulin action or both. Complications of Diabetes mellitus are macrovascular (coronary artery disease, peripheral vascular disease), microvascular (diabetic nephropathy, neuropathy and retinopathy), electrolyte and metabolic derangements. Foot ulcer is a common complication of diabetes mellitus with deranged Blood Sugar Level, which needs debridement or amputation. As central neuraxial block is contraindicated and general anaesthesia is risky in our patient due to coagulation abnormalities, anaemia, sepsis and left lung pneumonia. Hence, we planned for femorosciatic block. https://aacc.tums.ac.ir/index.php/aacc/article/view/440below knee amputationfemorosciatic nervepopliteal blockultrasound |
| spellingShingle | Jyoti P Deshpande Pooja R Jadhao Ultrasound Guided Femorosciatic Block for Diabetic Foot Ulcer in a Psychiatric Patient with Sepsis, Anaemia and Coagulation Defect Archives of Anesthesia and Critical Care below knee amputation femorosciatic nerve popliteal block ultrasound |
| title | Ultrasound Guided Femorosciatic Block for Diabetic Foot Ulcer in a Psychiatric Patient with Sepsis, Anaemia and Coagulation Defect |
| title_full | Ultrasound Guided Femorosciatic Block for Diabetic Foot Ulcer in a Psychiatric Patient with Sepsis, Anaemia and Coagulation Defect |
| title_fullStr | Ultrasound Guided Femorosciatic Block for Diabetic Foot Ulcer in a Psychiatric Patient with Sepsis, Anaemia and Coagulation Defect |
| title_full_unstemmed | Ultrasound Guided Femorosciatic Block for Diabetic Foot Ulcer in a Psychiatric Patient with Sepsis, Anaemia and Coagulation Defect |
| title_short | Ultrasound Guided Femorosciatic Block for Diabetic Foot Ulcer in a Psychiatric Patient with Sepsis, Anaemia and Coagulation Defect |
| title_sort | ultrasound guided femorosciatic block for diabetic foot ulcer in a psychiatric patient with sepsis anaemia and coagulation defect |
| topic | below knee amputation femorosciatic nerve popliteal block ultrasound |
| url | https://aacc.tums.ac.ir/index.php/aacc/article/view/440 |
| work_keys_str_mv | AT jyotipdeshpande ultrasoundguidedfemorosciaticblockfordiabeticfootulcerinapsychiatricpatientwithsepsisanaemiaandcoagulationdefect AT poojarjadhao ultrasoundguidedfemorosciaticblockfordiabeticfootulcerinapsychiatricpatientwithsepsisanaemiaandcoagulationdefect |