iarjaccIARJACCIARJACC2709-1880https://doi.org/10.47310/iarjacc.2025.v06i01.004Anesthetic Management for High-Risk Patients of Foot Care SurgeryIntroduction: Anesthetic management for high-risk patients undergoing foot care surgery is a critical aspect of minimizing perioperative complications and optimizing recovery. High-risk patients often present with comorbidities such as diabetes mellitus, cardiovascular diseases, and peripheral vascular disorders, which complicate both the surgical procedure and anesthesia. Preoperative evaluations and the careful selection of anesthetic techniques are essential to managing these patients' complex needs. Aim of the Study: This study aimed to evaluate the anesthetic management of high-risk patients undergoing foot care surgery. Methods: This cross-sectional observational study was conducted at the Department of Anesthesiology, BIHS General Hospital, Dhaka, Bangladesh, from January 2023 to December 2024. A total of 36 high-risk patients requiring foot care surgery were selected through purposive sampling. Inclusion criteria included ASA III and IV patients aged 18 years or older, while those with severe conditions preventing surgery or who refused to participate were excluded. Clinical data were recorded, including preoperative evaluations, anesthetic techniques, intraoperative monitoring, and postoperative outcomes. SPSS was used to analyze the data. Results: The study included 36 high-risk patients undergoing foot care surgery. Most participants were aged between 41-70 years, with 33.9% having Diabetes Mellitus (DM) and 24.8% having Hypertension (HTN). Preoperative clinical parameters showed a mean pulse of 90.18 and a mean SpO₂ of 96.78%. Physiologically, 82.1% had a normal pulse, 61.5% had high blood pressure, and 52% had low SpO₂ levels. Postoperative complications included good anesthesia in 28.6% of patients, while 21.4% had blood pressure maintained. Common diagnoses were gangrene, abscess, and wound debridement, each found in 13.8% of cases. Other diagnoses included amputation, non-healing ulcer, and diabetic foot. Conclusion: Anesthesia for high-risk patients undergoing foot care surgery requires a personalized approach. This study highlights the prevalence of diabetes and hypertension, which complicate surgery and anesthesia. Regional anesthesia is often safe, especially for heart patients, but careful blood pressure monitoring is crucial. Tailored anesthetic plans and attentive postoperative care lead to positive outcomes.