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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
A Journal on Physiopathology and Surgery of the Foot
Indexed/Abstracted in: EMBASE, Scopus
Chirurgia Del Piede 2003 June;27(2):59-64
Preoperative management of patients undegoing foot surgery
Napoli V., Napoli E.
The surgeon cannot confine his interest solely to the moment of operation as the success of his or her work is subordinate among other things to adequate management of pre- and postoperative problems. Every patients requires a personal operating programme which begins to take shape from the moment in which the need to operate is decided on and its preliminaries are sedation and the working out of an ad hoc operating strategy. The sedation of anxiety and fear helps to prevent the dangerous neuroendocrine and metabolic responses associated with surgical intervention while the task of the operating strategy is to reduce the risk involved in the operation by means of preoperative diagnosis and the indication of prophylaxes considered necessary. The adoption of prophylaxis is linked to the use of drugs and/or the adoption of operating protocols that are pertinent and of proven utility in support of the surgical operation. In foot surgery we routinely use the following prophylaxes which we outline in this paper: anti-infective, anti-thrombotic, pain-relief, anti-PONV (postoperative nausea and vomiting) and anti-stress ulcer for which specific tests have shown the validity.