[Anesthesia in a medical unit for treatment of trophic disorders of vascular origin].

The authors report here a first experiment of anaesthesia in a medicine unit. 29 anaesthesias were performed for 22 patients classed ASA II and III. The indications were nurses dressing for trophic troubles related to extremely painful vascular diseases. The whole treatment was realised in the medicine ward. Anaesthesia consists first in morphine injection as a premedication then several injections of propofol and alfentanil combined. The heart beat frequency was still and the blood pressure never lowered more than 10% of the preoperative level. No incident occurred. The awaking was of good value and without discomfort. The usual autonomy is regain in 2 hours after anaesthesia. This type of anaesthesia offers a new approach of painful cares and through a better dressing should lower the hospital stay.