Emergency Vascular Surgery A Practical Guide - part 4 ppt

... are available and that such management does not delay final treatment. Blunt abdominal trauma causing splenic injury can also be treated by endovascular embolization. In most published patient ... a er penetrating abdominal trauma: identifying those who are bleeding. Arch Surg. 2005; 140 (8):767–772 Fuller J, Ashar BS, Carey-Corrado J. Trocar-associ- ated injuries and fatalities: an an...

Ngày tải lên: 11/08/2014, 01:22

... greater saphenous vein a) 1. Scrub and drape a 10u10 cm large area ante- rior to the medial malleolus. 2. If the patient is awake, infiltrate a local anes - thetic. 3. Make a 3 cm-long transverse ... threatens limb viability, such as after a large em- bolization to a healthy vascular bed. Other times the symptoms are less dramatic, appearing as on- set of rest pain in a...

Ngày tải lên: 11/08/2014, 01:22

... Manage- ment of extra-cranial vertebral artery injuries. Eur J Vasc Endovasc Surg 20 04; 27:157–162 Navsaria P, Omoshoro-Jones J. An analysis of 32 surgi- cally managed penetrating carotid artery ... “string sign” appearance (ar- rows) Contents Part A Specific Body Areas Chapter 1 Vascular Injuries to the Neck 1 Chapter 2 Vascular Injuries to the Thoracic Outlet Area 15 Chapter 3 V...

Ngày tải lên: 11/08/2014, 01:22

... regularly damage vessels below the elbow. The popularity of using the brachial artery as a site for vascular access for endovascular pro- cedures has caused an increase in iatrogenic cath- eter-related ... clavicular region may also damage the in- nominate artery. The same mechanisms are com- mon for injuries to the subclavian and proximal axillary arteries. Stab wounds are associated...

Ngày tải lên: 11/08/2014, 01:22

... 41 4. 3 Clinical Presentation 41 4. 4 Diagnostics 42 4. 5 Management and Treatment 42 4. 5.1 Management Before Treatment 42 4. 5.2 Operation 42 4. 5.2.1 Embolectomy 42 4. 5.2.2 Endovascular ... routine analysis and blood typing and cross-matching. Laboratory studies follow stan- dard trauma management and should also include acid-base balance, serum amylase, and urinea...

Ngày tải lên: 11/08/2014, 01:22

... an intramural hematoma, which is a hemorrhage into the medial layer of the aortic wall without an intimal tear. Intramural he- matomas have a natural history similar to aortic dissection and ... pan- creatitis and myocardial infarction. These can be verified by electrocardiogram (ECG), a plain ab- dominal x-ray, a CT scan, ultrasound, or urogra- phy as well as by blood tests. 7.5...

Ngày tải lên: 11/08/2014, 01:22

... have also become an increasing part of vascular trauma. Vascular injuries may cause life-threatening major bleeding, but distal ischemia is more common. Ischemia occurs after both blunt and ... While vascular spasm is rare and should not be regarded as the main expla- nation for lack of distal blood flow, injection of 1–2 ml papaverine into the graft can also be tried. After vas...

Ngày tải lên: 11/08/2014, 01:22

... Bleeding 1 74 14. 6.3.1 In the Emergency Department 1 74 14. 6.3.2 Operation 1 74 14. 6 .4 Aneurysms and Hematomas 175 14. 6 .4. 1 In the Emergency Department 175 14. 6 .4. 2 Operation 175 14. 6 .4 Arterial Insuciency ... the access is almost always threatened. Such expansion is usually caused by graft laceration and should be immedi- ately repaired. Old and stable hematomas ca...

Ngày tải lên: 11/08/2014, 01:22

... impact 103 acetabular screw 63 acid-base balance 69 acidosis 130, 145 ACT value 150 acute intestinal ischemia – aggressive diagnostic work- up 73 – mortality 73 acute leg ischemia 144 – amputation ... 72 intimal flap 34, 105 intima-to-intima approxima- tion 182 intracompartmental pressure – measurement 130 intradermal suture 116 intraluminal balloon 83 intramural – hematoma 92 – thrombus 12...

Ngày tải lên: 11/08/2014, 01:22

... k αβ M 2 A1 Na-k ATPase Left ver- ticular function Sirus Rate Extra cardiac A I A A A A A ? ? ? Relative potency of block: Low = Agonist = Agonist /Antagonist Moderate High A = Activated state blocker I ... bypass-tract-mediated tachycardias and on the fast pathway in patients with AV nodal reentranttachycardia. Thus, quinidine has Class I antiarrhythmic drugs 67 Hemodynamic effe...

Ngày tải lên: 13/08/2014, 12:20