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Related Concept Videos

Vascular Spasm01:16

Vascular Spasm

The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last for...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
Blood Pressure Imbalances and Circulatory Shock01:24

Blood Pressure Imbalances and Circulatory Shock

Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
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...
Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...

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Updated: May 23, 2026

Integrated Compensatory Responses in a Human Model of Hemorrhage
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Published on: November 20, 2016

Combat related vascular trauma.

Ahmad Hussain Mishwani1, Abdul Ghaffar, Sarfaraz Janjua

  • 1Department of Surgical, Combined Military Hospital, Peshawar. ahmishwani@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|April 10, 2012
PubMed
Summary

Vascular injury repair in 96 patients showed a 95% limb salvage rate. Prompt arterial repair, tourniquets, and fasciotomy are crucial for preserving limbs and lives.

Area of Science:

  • Vascular Surgery
  • Trauma Surgery
  • Reconstructive Surgery

Background:

  • Vascular injuries pose significant challenges in trauma care, impacting limb viability and patient survival.
  • Understanding the patterns and management of these injuries is essential for optimizing outcomes.

Purpose of the Study:

  • To determine the frequency, patterns, and management of vascular injuries.
  • To analyze surgical complications and outcomes, including limb salvage rates.

Main Methods:

  • A case series was conducted at Combined Military Hospital, Peshawar, from August 2008 to August 2010.
  • Patients with vascular injuries were included, with specific exclusions for severe trauma or non-vascular causes of mortality.
  • Data collection focused on injury characteristics, treatment strategies, and patient outcomes, guided by clinical diagnosis and Doppler findings.

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Main Results:

  • 170 vascular injuries were identified in 96 patients, predominantly arterial (76.4%) and caused by gunshot wounds (54%).
  • Extremities were the most common site (85%), with arteries repaired in 87% and veins in 40% of cases.
  • The overall limb salvage rate was 95%, with graft thrombosis and infection being primary reasons for secondary amputation.

Conclusions:

  • Repairing injured arteries is paramount for limb and life preservation.
  • The use of tourniquets, prophylactic fasciotomy, and vascular shunts is important in managing vascular trauma.
  • Prioritizing life-threatening conditions, unstable fractures, and debridement before definitive arterial repair is critical.