BLOQUEIO PERIDURAL E TERMOMETRIA CUTANEA COMO CRITERIO PARA INDICACAO CIRURGICA DE SIMPATECTOMIA LOMBAR

Lastoria, S.; Vianna, Pedro Thadeu Galvão [UNESP]; Yoshida, Winston Bonetti [UNESP]; Maffei, Francisco Humberto de Abreu [UNESP]

BLOQUEIO PERIDURAL E TERMOMETRIA CUTANEA COMO CRITERIO PARA INDICACAO CIRURGICA DE SIMPATECTOMIA LOMBAR

Date

1977-12-01

Authors

Lastoria, S.

Vianna, Pedro Thadeu Galvão

Yoshida, Winston Bonetti

Maffei, Francisco Humberto de Abreu

Type

Article

Access right

Acesso restrito

Abstract

To find a valuable tool in achieving a good accuracy in predicting the outcome from sympathectomy, changes in limb skin temperatures (LST) before and after epidural lumbar anesthesia (ELA) and before and after lumbar sympathectomy were studied in 13 patients with thrombangiitis obliterans or arteriosclerosis obliterans. The results were compared with the clinical course and follow-up from 1 to 5 years. In seven patients there was a rise in LST after ELA and after sympathectomy, and this pattern of variation was associated with good clinical course. In three patients there was decrease in the LST after ELA and after sympathectomy and they did not do well. In two patients there was no change in temperature before or after the procedure; one of them had a good and the other a bad clinical course. The same measurements were performed in three other patients who had had a sympathectomy some years previously and the data showed that LST was lowered after ELA. It is concluded that the measurement of limb skin temperature before and after epidural lumbar anesthesia aids in determining which patients are more likely to benefit from sympathectomy.

Keywords

autonomic nervous system, cardiovascular system, diagnosis, epidural anesthesia, major clinical study, preoperative evaluation, sympathectomy, therapy