Objective To summarize the progress of perioperative pain management in patients with lower limb vascular diseases. Method Retrieved the literature about pain management in patients with lower limb vascular diseases both at home and abroad in recent years and reviewed the literature. Results Lower limb vascular diseases were very common in elderly patients. Whether it was limb ischemic pain or surgery-related pain, it often increased the stress response and activation of the autonomic system, which was not conducive to the recovery of the disease. Good analgesic management was important for these patients. Perioperative pain management could be performed by intravenous analgesics, oral analgesics, local anesthesia, neuraxial anesthesia and peripheral nerve block. Acute and chronic pain should be actively managed during perioperative period. Pre-emptive analgesic strategies could be implemented in patients with severe peripheral vascular disease. Conclusions Good perioperative analgesia management is necessary. Pain management which employes one or more analgesic methods is important in maximizing pain relief, function, and quality of life for this patient group.

Citation： WANG Xia, WU Zhoupeng. Progress of perioperative pain management in patients with lower limb vascular diseases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(4): 508-512. doi: 10.7507/1007-9424.202311092 Copy