... 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...
... 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...
... 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...
... 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...
... 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...
... 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...
... 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 Insuciency ... 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...
... 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...