Perioperative management of diabetic foot

Ankle Block- An Alternative to Conventional Anaesthesia for Foot Surgery in a Patient with Cardiac Disease

“…These may further get complicated by bacterial or fungal contamination, peripheral arterial diseases and atherosclerosis all commonly associated with diabetes mellitus. 1 The diabetic foot ulcers are regarded as precursors of typically painless cardiovascular or cerebrovascular accidents, thus awareness and anticipation along with multidisciplinary team approach is required. Perioperative management consists of preoperative optimization of the vital organs, controlling infection, maintaining acid-base balance and electrolytes level and blood volume, intraoperative hemodynamic stability and complete analgesia and postoperative glycaemic control, care of wound and analgesia.…”

Medical Management of Acute Foot Injury in Diabetic Patients

“…In case of endovascular revascularization, the risk of Acute Kidney Injury (AKJ) related to administration of Contrast Medium (CM) must be considered. In fact, Contrast Induce Nephropathy (CIN) is responsible in 11-14, 5% of cases of AKJ, increasing the risk of dialysis treatment, the length of hospitalization, the hospital complications and the mortality rate at 1 year [75][76][77][78]. Further, in diabetic patients with pre-existing Chronic Kidney Disease (CKD) the risk can reach sometimes the 40%.…”