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10.1136/tsaco-2017-000110 http://scihub22266oqcxt.onion/10.1136/tsaco-2017-000110 C5877918!5877918 !29766105     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29766105 &cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29766105 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Trauma+Surg+Acute+Care+Open 2017 ; 2 (1 ): e000110 Nephropedia Template TP {{tp|p=29766105 |t=2017. Pitfalls in the management of peripheral vascular injuries |pdf=|usr=}}{{29766105 }} gab.com Text Pitfalls in the management of peripheral vascular injuries JO: Trauma Surg Acute Care Open http://www.kidney.de/pget.php?&tw=1&pmid=29766105 #FOAvip Over the past 65+ years, most civilian peripheral vascular injuries have been managed by trauma surgeons with training or experience in vascular repair or ligation. This is appropriate as the in-hospital trauma team is immediately available, and there are often other injuries present in the victim. The pitfall to avoid during evaluation of the patient in the emergency center is a missed diagnosis. In the patient without 'hard' signs of a peripheral vascular injury, a careful history (bleeding), physical examination including measurement of ankle-brachial (ABI) or brachial-brachial index and liberal use of CT arteriography depending on an ABI <0.9?should essentially make the diagnosis if an arterial injury is present. At operation, one pitfall is to limit skin preparation and draping, thereby eliminating the option of removing the greater saphenous vein if needed as a conduit from either the groin or ankle of an uninjured lower extremity. Another pitfall is to make a full longitudinal incision directly over a large pulsatile hematoma. Rather, separate shorter longitudinal incisions should be made to obtain proximal and distal vascular control before entering the hematoma. The failure to recognize patients who should be managed initially with insertion of a temporary intraluminal shunt is a major pitfall as well. Not following time-proven and results-proven 'fine techniques' of operative repair is another major pitfall. Such techniques include the following: use of small angioaccess vascular clamps or silastic vessel loops; passage of proximal and distal Fogarty catheters; administration of regional or systemic heparin during complex repairs; an open anastomosis technique; and completion arteriography after a complex arterial repair in a lower extremity. Avoiding pitfalls should allow for success in peripheral vascular repair, particularly since most patients are young with non-diseased vessels. Twit Text FOAVip Pitfalls in the management of peripheral vascular injuries ????Trauma Surg Acute Care Open http://www.kidney.de/pget.php?&tw=1&pmid=29766105 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29766105 #FOAvip English Wikipedia <ref>{{Cite pmid|29766105 }}</ref> Pitfalls in the management of peripheral vascular injuries #MMPMID29766105 Feliciano DV Trauma Surg Acute Care Open 2017[]; 2 (1 ): e000110 PMID29766105 show ga Over the past 65+ years, most civilian peripheral vascular injuries have been managed by trauma surgeons with training or experience in vascular repair or ligation. This is appropriate as the in-hospital trauma team is immediately available, and there are often other injuries present in the victim. The pitfall to avoid during evaluation of the patient in the emergency center is a missed diagnosis. In the patient without 'hard' signs of a peripheral vascular injury, a careful history (bleeding), physical examination including measurement of ankle-brachial (ABI) or brachial-brachial index and liberal use of CT arteriography depending on an ABI <0.9?should essentially make the diagnosis if an arterial injury is present. At operation, one pitfall is to limit skin preparation and draping, thereby eliminating the option of removing the greater saphenous vein if needed as a conduit from either the groin or ankle of an uninjured lower extremity. Another pitfall is to make a full longitudinal incision directly over a large pulsatile hematoma. Rather, separate shorter longitudinal incisions should be made to obtain proximal and distal vascular control before entering the hematoma. The failure to recognize patients who should be managed initially with insertion of a temporary intraluminal shunt is a major pitfall as well. Not following time-proven and results-proven 'fine techniques' of operative repair is another major pitfall. Such techniques include the following: use of small angioaccess vascular clamps or silastic vessel loops; passage of proximal and distal Fogarty catheters; administration of regional or systemic heparin during complex repairs; an open anastomosis technique; and completion arteriography after a complex arterial repair in a lower extremity. Avoiding pitfalls should allow for success in peripheral vascular repair, particularly since most patients are young with non-diseased vessels. äPitfalls in the management of peripheral vascular injuries (epmc).pdf DeepDyve Pubget Overpricing