CONTROLLED AMBIENT TEMPERATURE IN THE POSTOPERATIVE MANAGEMENT OF MICRO-RECONSTRUCTIVE PROCEDURES

Autor:	Beng-Hai Lim, Winston Yoon-Chong Chew, F. C. Yong, L. C. Teoh, David Boo-Aun Khoo
Rok vydání:	1996
Předmět:	Vascular pedicle business.industry Vasodilation General Medicine Blood flow medicine.disease Thrombosis Postoperative management medicine.anatomical_structure Anesthesia medicine Vascular resistance business Perfusion Patient comfort
Zdroj:	Hand Surgery. :23-29
ISSN:	1793-6535 0218-8104
DOI:	10.1142/s0218810496000075
Popis:	Following microvascular reconstructive procedures, it is beneficial to maintain a high blood flow through the vascular pedicle during the critical period as this decreases the risk of thrombosis and failure. Blood flow is dependent on perfusion pressure and vascular resistance. Changes in vascular diameter and viscosity are the main determinants of blood flow in a flap. Increase in temperature causes vasodilation and decreased viscosity, and hence increase in blood flow. The benefit of maintaining a preset constant warm ambient temperature of 34°C in the postoperative care of microvascular reconstructive procedures is achieved by using the Ambience Control Device, which is an incubator with a closed environment warmed by a servo-feedback heating mechanism. It also has the advantages of patient comfort and ease of use.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::467da0dd6788d6a864090a8fce49b6d2 https://doi.org/10.1142/s0218810496000075 Zobrazit plný text záznamu