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Emergency Vascular Surgery A Practical Guide - part 7 ppt

Emergency Vascular Surgery A Practical Guide - part 7 ppt

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...
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Emergency Vascular Surgery A Practical Guide - part 4 ppt

Emergency Vascular Surgery A Practical Guide - part 4 ppt

... . . . . 76 7. 3.2 Examination 76 7. 3.3 Dierential Diagnosis 77 7. 3.4 Clinical Diagnosis 77 7. 4 Diagnostics 77 7. 5 Management and Treatment 78 7. 5.1 Management Before Treatment 78 7. 5.1.1 ... Outcome 87 7 .7 Unusual Types of Aortic Aneurysms 87 7 .7. 1 Inammatory Aneurysm 87 7 .7. 2 Aortocaval Fistula 88 7. 7.3 Thoracoabdominal Aneurysm 88 7. 7.4 Mycotic Aneurysm 89 7. 8 Ethical Considerations ... a er penetrating abdominal trauma: identifying those who are bleeding. Arch Surg. 2005; 140(8) :76 7 77 2Fuller J, Ashar BS, Carey-Corrado J. Trocar-associ-ated injuries and fatalities: an analysis...
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Emergency Vascular Surgery A Practical Guide - part 2 potx

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....
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Emergency Vascular Surgery A Practical Guide - part 3 pdf

Emergency Vascular Surgery A Practical Guide - part 3 pdf

... 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 ... If the patient’s condition allows and endovascular methods are available, the place-ment of an aortic balloon through a left brachial or femoral artery access, is of great potential value. This ... are carotid-subclavian, subclavian-axillary, and axillary-brachial bypasses. 4.5.2.2 Endovascular Treatment Thrombolysis is as feasible for acute upper extrem-ity ischemia as it is in the...
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Emergency Vascular Surgery A Practical Guide - part 5 pot

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...
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Emergency Vascular Surgery A Practical Guide - part 6 potx

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 ... If the vascular injury is one of many in a multitrauma patient, general trauma principles for trauma care are applied. Treatment of the vascular problem is then initiated as soon as possible...
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Emergency Vascular Surgery A Practical Guide - part 9 ppsx

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,...
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Emergency Vascular Surgery A Practical Guide - part 10 pot

Emergency Vascular Surgery A Practical Guide - part 10 pot

... an ordinary clampSubject Index A AAA, see abdominal aortic aneurysmabdominal– aortic aneurysm (AAA) 75 –90––classic triad 77 – – clinical presentation 77 – – diagnosis of ruptured AAA 76 – ... proportion 67, 70 , 130pallor 41palpation of a thrill 170 pancreas 53, 56, 72 pancreatitis 68, 77 – hemorrhagic 70 papaverine 69, 72 , 113paralysis 122, 146paralysis 41paramedics 5paraplegia 95paresthesia ... primary 129analgesics 22, 70 , 79 , 97, 105, 125, 175 anastomosis– bleeding 151– transforming 175 anatomical aortic arch and branch variations 16anemia 97, 125, 153anesthesia of the axillary...
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Antiarrhythmic Drugs A practical guide – Part 7 doc

Antiarrhythmic Drugs A practical guidePart 7 doc

... that increase the duration of the cardiac actionpotential—Class IA and Class III drugs—canproduce the pause-dependentven-tricular tachyarrhythmias that are mediated by early afterdepolar-izations. ... investigational Class III antiarrhythmicagent whose efficacyagainst supraventricular arrhythmias appearsto be on a par with other Class III drugs, whose efficacyagainstventricular arrhythmias is at least ... (arrow), tachycardia abruptlyterminates.slows atrial tachyarrhythmias; and generally has no effecton ven-tricular tachycardia (Table 7. 1).The drug is given asarapid intravenous bolus, usually...
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