Challenges in diabetic foot treatment during pandemic of COVID-19
Open Access
- 9 February 2021
- journal article
- research article
- Published by Saudi Medical Journal in SciVee
- Vol. 42 (2), 166-169
- https://doi.org/10.15537/smj.2021.2.25687
Abstract
Objectives: To avoid hospital spread of Coronavirus-2019 (COVID-19) and to analyze out of hospital outcomes after amputation. Methods: Prospective analysis of data obtained from 60 diabetic patients in 2020 was performed at Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina. Personal protection equipment included double surgical mask, glasses, disposable surgical coats, and surgical masks for patients. Swabs were used to take samples from wounds. We randomly divided patients in 2 groups of 30 patients each. In pre-operative treatment, we used local anesthesia lidocaine hydrochloride 2% (Belupo, Koprivnica, Croatia) in group A and systemic analgesia intravenous tramadol chloride 100 mg intravenous (Krka, Novo Mesto, Slovenia) in group B. Wounds were surgically treated each day and heal spontaneously. Periodical control exams were performed. Results: Wound healing did not present any statistically significant differences between groups (group A: 69±21.97 and B: 61±22.13 days, t=−1.22; p=0.11). No statistically significant differences (pConclusion: No significant differences in amputation treatment between the 2 comparative groups were noted. No confirmed COVID-19 infections in medical staff who performed surgical interventions or in treated patients were detected.Keywords
This publication has 6 references indexed in Scilit:
- Dexmedetomidine enhances ropivacaine-induced sciatic nerve injury in diabetic ratsBritish Journal of Anaesthesia, 2018
- Diabetic foot-epidemiological and histopathological aspects2018
- Diabetic footBMJ, 2017
- Regional anesthesia in diabetic peripheral neuropathyCurrent Opinion in Anaesthesiology, 2017
- Digital Necrosis After Lidocaine and Epinephrine Injection in the Flexor Tendon Sheath Without Phentolamine RescueThe Journal of Hand Surgery, 2016
- Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysisAnnals of Medicine, 2016