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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Diabetic Foot Ulcer01:31

Diabetic Foot Ulcer

Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...

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Related Experiment Video

Updated: Jun 15, 2026

An Experiment Using Functional Near-Infrared Spectroscopy and Robot-Assisted Multi-Joint Pointing Movements of the Lower Limb
05:25

An Experiment Using Functional Near-Infrared Spectroscopy and Robot-Assisted Multi-Joint Pointing Movements of the Lower Limb

Published on: June 7, 2024

Organized programs to prevent lower-extremity amputations.

Lee C Rogers1, Nicholas J Bevilacqua

  • 1Amputation Prevention Center, Valley Presbyterian Hospital, Los Angeles, CA 91405, USA. Lee.C.Rogers@gmail.com

Journal of the American Podiatric Medical Association
|March 19, 2010
PubMed
Summary
This summary is machine-generated.

Implementing a six-step approach significantly reduced diabetes-related lower-extremity amputations and limb losses. This strategy improved limb salvage success by decreasing the high-low amputation ratio, demonstrating effective prevention of major amputations.

Related Experiment Videos

Last Updated: Jun 15, 2026

An Experiment Using Functional Near-Infrared Spectroscopy and Robot-Assisted Multi-Joint Pointing Movements of the Lower Limb
05:25

An Experiment Using Functional Near-Infrared Spectroscopy and Robot-Assisted Multi-Joint Pointing Movements of the Lower Limb

Published on: June 7, 2024

Area of Science:

  • Podiatry
  • Vascular Surgery
  • Endocrinology

Background:

  • Diabetes-related lower-extremity amputations are a significant public health concern.
  • Foot ulcers precede 85% of these amputations, highlighting the critical role of ulcer management.
  • Effective ulcer care is key to preventing limb loss in diabetic patients.

Purpose of the Study:

  • To evaluate the impact of a structured, six-step intervention program on reducing diabetes-related lower-extremity amputations.
  • To assess changes in amputation frequency and level following program implementation.
  • To determine the effectiveness of the high-low amputation ratio as a quality indicator for limb salvage.

Main Methods:

  • A county hospital implemented a six-step approach for diabetic limbs at risk.
  • Amputation frequency and level data were collected for 12 months pre- and post-intervention.
  • The high-low amputation ratio was calculated to measure the success of limb salvage efforts.

Main Results:

  • Total amputations increased from 24 to 46, but major limb losses decreased by 72% (from 7 to 2).
  • The high-low amputation ratio demonstrated an eightfold decrease within one year.
  • These findings indicate a substantial improvement in limb salvage rates.

Conclusions:

  • Enhanced care organization and multidisciplinary protocols are effective in reducing limb losses.
  • The implemented six-step approach significantly improved outcomes for diabetic patients at risk of amputation.
  • This study underscores the importance of structured interventions in preventing major amputations and improving limb salvage.