Advertisement

Local/Regional Anesthesia for Diabetic Foot Surgery

  • Sanjeev Kelkar
  • Shubhangi Muley
  • Prakash Ambardekar
Chapter

Abstract

In 1986, in Mumbai, then Bombay, the real work on diabetic foot began in the equally premier All-India Institute of Diabetes (AIID), SL Raheja Hospital, now Fortis Raheja. AIID had started having concentrated diabetic foot work. All the cases were taken up under general anesthesia with tremendous risk, a practice which continues in large part of the country even now, giving rise to myriad issues discussed in Emergency Surgery and Perioperative Diabetic Emergencies in this volume. Those were historic days during which learning about the diabetic foot, assessing the foot and the patient with what investigations were then available, before and during intraoperative monitoring, using methods now sparingly used.

References

  1. 1.
    IDF Atlas 7th edition. 2017. p. 80.Google Scholar
  2. 2.
    Boulton AJ, Vileikyte L, Ragnarson-Tennvall G, et al. The global burden of diabetic foot disease. Lancet. 2005;366:1719–24.  https://doi.org/10.1016/S0140-6736(05)67698-2.CrossRefPubMedGoogle Scholar
  3. 3.
    Boulton AJM, Armstrong DG, Albert SF, et al. Comprehensive foot examination and risk assessment. Diabetes Care. 2008;31:1679–85.  https://doi.org/10.2337/dc08-9021.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Statistics from SL Raheja Hospital (now Fortis) from Mumbai from 2002 to 2010.Google Scholar

Additional Reading

  1. Handbook of diabetic foot care. 2004. http://www.diabeticfootsocietyofindia.org
  2. Kelkar S, editor. National guidelines for management of diabetic foot. 2nd ed. Chennai: Diabetic Foot Society of India; 2017.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Sanjeev Kelkar
    • 1
  • Shubhangi Muley
    • 2
  • Prakash Ambardekar
    • 3
  1. 1.Private PracticePuneIndia
  2. 2.Senior Consultant AnesthesiologistCentral India Institute of Medical ScienceNagpurIndia
  3. 3.Consultant, AnesthesioligistFortis S L Raheja HospitalMumbaiIndia

Personalised recommendations