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1023100
Vascular
Description
Mind Map on Vascular, created by jeremywee90 on 21/06/2014.
Mind Map by
jeremywee90
, updated more than 1 year ago
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Created by
jeremywee90
over 10 years ago
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Resource summary
Vascular
Acute Arterial occlusion
restoration of blood flow w/i 4-6 hrs
heparin 80units/kg bolus
18u/kg/hr infusion
ptt 60-80
embolus/ acute ischemia
embolectomy
LA
GA
lack of claudication
presence of contralat pulse
cardiac
arrhtymias
anticoag
aneuryms
anticoag
valves
bacteria endocarditis
atrial myxoma
art-art
ulcerated atheroma
disruption by caths
blue toe syndrome
pulse + painful lesions in distal extremity
aneurysms
venous-art
intra-cardiac shunts (PFO)
intra-pulmonary AVMs (osler-weber-rendu)
fresh thrmbus
thrombolysis
f/u angio
stenosis
angioplasty
2DE
HD/ICU monitoring
thrombin time
fibrinogen lvl, keep >100 mg/dl
fdp lvl
ptt, keep <3-5 x normal limit
fbc
alteplase
urokinase
reteplase
mechanical thrombectomy
w or w/o tpa
2DE
ECG,CXR
cardiac pt
if unrel to trauma
reperfusion injury
rhabdomyolysis
muscle mass
duration of ischemia
aggressive hydration
diuresis w mannitol 25g IV
IV infusion of bicarb
K, lactic acid, CK
arrthymias
myoglobin
pigment nephropathy and ARF
compartment syndrome
intracompartment syndrome >30mhg
fasciotomy
> 6 hrs ll ischemia
combined arterial/venous injruy
level of occlusion
6 'p's : pain, pallor, parasthesia, paralysis, pulselessness, poikilothermia
trauma
intimal flap
arterial wall hematoma
compartment sydnrome
#/disloc
hard signs
surgical intervention
operative expxloration
reduction of disloc
prox & distal control of injured artery
end to end anastomosis
completion angio
preparation of uninjured leg or potential vein harvest site
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
soft signs
doppler comparision w contralat limb
>10-20% difference
arteriography
exploration
others
arterial thrombosis
aortic dissection
venous outflow occlusion
low-flow state
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