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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia Del Piede 2007 April;31(1):7-12

language: Italian

Preoperative management of foot surgery: premedication

Napoli V. 1, Napoli E. 2, Manno E. P. 3

1 Centro di Chirurgia del Piede Casa di Cura “Fornaca di Sessant”, Torino
2 Dipartimento di Discipline Medico Chirurgiche Università degli Studi di Torino Facoltà di Medicina e Chirurgia, Torino
3 ASL n. 3 Ospedale Maria Vittoria, Torino


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The goals of premedication are to protect the patient against possible secondary effects of sedative premedications; facilitate anesthesia procedures; protect against early effects of surgical trauma; prepare for smooth postoperative course. The choice of agent depends on the patient’s baseline status and the type and site of surgery. In foot surgery, the therapeutic priorities of premedication are to allay patient anxiety and to prevent and control pain. Alarm at being informed about the need for surgery may cause somatic and visceral stress. In foot surgery patients, anxiety can lead to fears about pain, since surgery is wrongly associated with difficulty in managing anesthesia. The administration of analgesics and antihistamines 45 min before the operation and benzodiazepine the night before can ensure adequate and safe control.

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