Wartime Vascular Injury
| Autor: | Joseph M. White, Jared L. Antevil, Zsolt T. Stockinger, Paul W. White, Nathaniel Fernandez, Todd E. Rasmussen, Christopher J. White |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Warfare
medicine.medical_specialty Computed Tomography Angiography Resuscitation Limb salvage Guidelines as Topic Physical examination 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine Humans Musculoskeletal Diseases Intensive care medicine medicine.diagnostic_test business.industry Public Health Environmental and Occupational Health 030208 emergency & critical care medicine General Medicine Vascular System Injuries Limb Salvage Clinical Practice Shunting Damage control surgery Angiography business Vascular Surgical Procedures |
| Zdroj: | Military Medicine. 183:101-104 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.1093/milmed/usy138 |
| Popis: | Wartime vascular injury can be particularly challenging due to the complexity of the case, concomitant injuries, resource limitations, and often lack of expertise of the operating surgeon. The proliferation of vascular shunting has been of particular importance as a damage control surgery technique to restore perfusion and temporize the immediate need for definitive repair necessary for limb salvage, particularly in austere locations. Diagnosis of vascular injury can be made using a variety of techniques, from physical examination to ankle-brachial indices to the use of CT angiography or invasive angiographic techniques. Operative planning and judgment are therefore critical in deciding both how and whether to operate. Surgeons likely to deploy should take every opportunity to practice vascular exposures and techniques through clinical practice and laboratory courses. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |