[Central hemodynamics during epidural anesthesia in patients with pyonecrotic forms of diabetic foot]. / Tsentral'naia gemodinamika pri épidural'noi anestezii u bol'nykh s gnoino-nekroticheskimi formami diabeticheskoi stopy.

Central hemodynamics and physiological profiles were followed up during epidural anesthesia for surgical treatment of pyonecrotic forms of diabetic foot. Modification of epidural anesthesia is described. Hemodynamic stability and adequacy of anesthesia in patients with severe concomitant diseases and chronic specific complications of diabetes mellitus are demonstrated.

[Choice of anesthesia in patients with suppurative surgical infections and diabetes mellitus]. / Vybor metoda anestezii u bol'nykh s gnoinoi khirurgicheskoi infektsiei na fonesakharnogo diabeta.

500 anesthesias were performed in patients with surgical diseases in the presence of diabetes millitus (90% of patients with II type diabetes). The methods of intravenous anesthesia are proposed for short-term procedures with preservation of spontaneous ventilation and stable hemodynamics. The method of epidural anesthesia with introduction of major dose of anesthetic in two stages was developed for the operation on the lower extermities, it provides for stable hemodynamics and adequate anesthesia. Factors, influencing the choice of anesthesia were determined. Basic principles of intensive care in patients with surgical infection in diabetes mellitus were established.