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Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
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Systemic reperfusion injury during arm replantation requiring intraoperative amputation
1Department of Anaesthesia, St Vincent's Hospital, Melbourne, Victoria.
Anaesthesia and Intensive Care
|April 10, 2002
Abstract:
This case describes the attempted replantation of an arm following its traumatic amputation. After a five-and-a-half hour ischaemic time, perfusion of the arm was re-established. However over the ensuing hours, the patient developed hyperkalaemia, acidaemia and severe hypotension requiting high dose inotropic support. Ultimately re-amputation was necessary to treat the systemic effects of the ischaemia reperfusion syndrome.

