SURGICAL TREATMENT OF AORTOILIAC OCCLUSIVE DISEASE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE UNDER EPIDURAL ANAESTHESIA

Aim: The morbidity and mortality rates for peripheral arterial surgery have Unproved with the developments in vascular surgery and anaesthesiology. We aimed to report our experience with epidural anaesthesia for surgical treatment of aortoiliac occlusive peripheral arterial disease. Materials and methods: Between January 2012 and July 2013, 7 patients with severe chronic obstructive pulmonary disease operated for peripheral arterial disease were included in the study. The epidural catheter Was performed in the operating theatre on the day of surgery. Analgesie effectivity was controlled by visual analogue scale: Mean arterial pressure, heart rate and SpO2 were measured: Retroperitoneal approach was preferred in all patients. Results: Patients were all male and mean age was 58 years. The mean stay in the intensive care unit was 21 hours. The mean length of stay in the hospital postoperatively wasp days. No complication was observed related to the epidural anaesthesia. In the postoperative follow up, two patients developed wound infection at the groin incision. They healed uneventfully with proper antibiotic treatment. Conclusion: In conclusion, patients with severe chronic obstructive pulmonary disease Can be encouraged for elective aortofemoral bypass operation under epidural anaesthesia with acceptable Morbidity.