Intraoperative hemodynamic stability in peripheral nerve block patients undergoing diabetic foot surgery

Excerpt

We look through with great interest the article reported by Lai et al. [1] in Clinical Autonomic Research “The hemodynamic and pain impact of peripheral nerve block versus spinal anesthesia in diabetic patients undergoing diabetic foot surgery”. Data from the randomized controlled trial demonstrated that, compared with patients receiving spinal anesthesia (subarachnoid block) (the SA group), diabetic patients receiving peripheral nerve blocks (the PNB group) for diabetic foot surgery had significantly lower incidences of intraoperative hypotension and vasopressor use [1]. These data highlighted the beneficial effects of peripheral nerve blocks in providing hemodynamic stability for diabetic patients undergoing diabetic foot surgery. However, other than the data reported by Lai et al. [1], only scarce data [2] are available in this regard. …