Acute Arterial occlusion

restoration of blood flow w/i 4-6 hrs
level of occlusion
trauma
others
heparin 80units/kg bolus
reperfusion injury
rhabdomyolysis
compartment syndrome
18u/kg/hr infusion
ptt 60-80
embolus/ acute ischemia
fresh thrmbus
ECG,CXR
embolectomy
lack of claudication
presence of contralat pulse
cardiac
art-art
venous-art
LA
GA
arrhtymias
aneuryms
valves
bacteria endocarditis
atrial myxoma
anticoag
anticoag
ulcerated atheroma
aneurysms
disruption by caths
blue toe syndrome
pulse + painful lesions in distal extremity
intra-cardiac shunts (PFO)
intra-pulmonary AVMs (osler-weber-rendu)
thrombolysis
mechanical thrombectomy
f/u angio
HD/ICU monitoring
alteplase
urokinase
reteplase
stenosis
angioplasty
2DE
thrombin time
fibrinogen lvl, keep >100 mg/dl
fdp lvl
ptt, keep
fbc
w or w/o tpa
2DE
cardiac pt
if unrel to trauma
muscle mass
duration of ischemia
aggressive hydration
diuresis w mannitol 25g IV
IV infusion of bicarb
K, lactic acid, CK
myoglobin
arrthymias
pigment nephropathy and ARF
intracompartment syndrome >30mhg
fasciotomy
> 6 hrs ll ischemia
combined arterial/venous injruy
6 'p's : pain, pallor, parasthesia, paralysis, pulselessness, poikilothermia
intimal flap
arterial wall hematoma
compartment sydnrome
#/disloc
hard signs
soft signs
surgical intervention
diminished/absent pulses distal to injury
ischemia distal to injury
visible arterial bleeding from wound
bruit at/or distal to site of injury
large,expanding or pulsatile hematoma
operative expxloration
reduction of disloc
prox & distal control of injured artery
completion angio
preparation of uninjured leg or potential vein harvest site
end to end anastomosis
doppler comparision w contralat limb
>10-20% difference
arteriography
exploration
arterial thrombosis
aortic dissection
venous outflow occlusion
low-flow state

	Creado por jeremywee90 hace casi 10 años

	Copiado a Apunte por jeremywee90 hace casi 10 años

Apunte sobre Vascular - created from Mind Map, creado por jeremywee90 el 21/06/2014.