Emergency Vascular Surgery A Practical Guide - part 5 pot

... 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 Management ... performing a major operation because of a sus-pected ruptured AAA in a patient who actually is suffering from an acute myocardial infarction. The only way to avoid this is to keep the AAA di-agnosis...

Emergency Vascular Surgery A Practical Guide - part 2 potx

... 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 with a ... subclavian or axillary artery, endovascular treatment can pro-ceed right away. Duplex scanning has replaced arteriography in some hospitals and is probably just as accurate in experienced hands....

Emergency Vascular Surgery A Practical Guide - part 6 potx

... 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 ... Vascular injuryFemoral shaft fracture Superficial femoral arteryKnee dislocation Popliteal arteryFractured clavicle Subclavian arteryShoulder dislocation Axillary arterySupracondylar fracture ... 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 vascular...

Emergency Vascular Surgery A Practical Guide - part 10 pot

... injury 56 – vena cava 43, 58 retroperitoneal– hematoma 56 – hemorrhage 48revascularization 132rib fracture 18right– atrium’s appendage 56 – medial visceral rotation 55 – renal artery 57 – renal ... 1 75 anastomosis– bleeding 151 – transforming 1 75 anatomical aortic arch and branch variations 16anemia 97, 1 25, 153 anesthesia of the axillary plexus 172aneurysm 80, 121aneurysmal sac 85 angina ... proximal and distal control. 15. 4.1 Proximal Endovascular Aortic Control When available, this alternative is of great poten-tial importance for patients with severe intraab-dominal bleeding after...

Emergency Vascular Surgery A Practical Guide - part 3 pdf

... 48 5. 4 Diagnostics 48 5. 5 Management and Treatment 50 5. 5.1 Management Before Treatment 50 5. 5.1.1 Treatment and Management in the Emergency Department 50 5. 5.1.2 Unstable Patients 50 5. 5.1.3 ... visualization. Its main advantage is reported to be diagnosis of dia-phragmatic injuries in stable patients. 5. 5 Management and Treatment 5. 5.1 Management Before Treatment 5. 5.1.1 Treatment and Management ... 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 urineanal-ysis. Fluid...

Emergency Vascular Surgery A Practical Guide - part 4 ppt

... insuf-flated. If the aorta or iliac arteries are injured con- 5. 7 Iatrogenic Vascular Injuries in the AbdomenChapter 5 Abdominal Vascular Injuries60the packs are removed and the abdomen closed. ... 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. 20 05; 140(8):767–772Fuller J, Ashar BS, Carey-Corrado J. Trocar-associ-ated injuries and fatalities: an analysis...

Emergency Vascular Surgery A Practical Guide - part 7 ppt

... 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 patient with claudication. ... B PART Chapter 11 Vascular Access in Trauma138course, be in accordance with local prescriptions and routines. 11.3.1.1 Management Guidelines in Acute Vascular Access Always start by...

Emergency Vascular Surgery A Practical Guide - part 9 ppsx

... the access is almost always threatened. Such expansion is usually caused by graft laceration and should be immedi-ately repaired. Old and stable hematomas can, as an alternative, be treated ... venotomy.Blind application of vascular clamps in a bleeding traumatic wound as dangerous. A nonsecure distal intimal edge is always a risk for dissection and creation of an inti-mal flap causing occlusion.Veins ... essential for a successful vascular operation. Always use special atraumatic vascular instruments when approaching the vessel. 15. 4 Control of Bleeding and Clamping In all vascular procedures,...

Antiarrhythmic Drugs A practical guide – Part 5 pdf

... supraventriculartachyarrhythmiasTerminate or preventAV nodal reentrant tachycardiaSA nodal reentrant tachycardiaMacroreentrant (bypass-tract-mediated) tachycardiaSlow ventricular responseAtrial tachycardia (automatic ... arrhythmias. It has beenused successfully in treat-ing bypass-tract-mediated tachyarrhythmias and may have some ef-ficacyagainst atrial fibrillation and atrial flutter. Its efficacyagainst84 Chapter 4use ... reentranttachycardia, AV nodal reentranttachycardia, and macroreentranttachycardias associatedwith bypass tracts). In these cases, beta block-ers can have a directsuppressive effecton the pathways...

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