Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

551
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...
551
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

539
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...
539
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

578
 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,...
578
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

416
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
416
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

733
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
733
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

571
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
571

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Post-Endovascular Aneurysm Repair surveillance in the United Kingdom: A survey of current clinical practice.

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·2026
Same author

Primary hyperparathyroidism due to dual parathyroid adenomas: one orthotopic, one intrathymic in ectopic cervical thymus.

JCEM case reports·2026
Same author

Leadership knowledge and behaviours: outcomes of a full-day leadership workshop focusing on personal growth in foundation doctors.

BMJ leader·2025
Same author

Feasibility Randomized Controlled Trial of Remotely Supervised Exercise versus Self-Directed Exercise for Intermittent Claudication.

Annals of vascular surgery·2025
Same author

Deep Learning Model for Histologic Diagnosis of Dysplastic Barrett's Esophagus: Multisite Cohort External Validation.

The American journal of gastroenterology·2025
Same author

CD38-Targeted <sup>89</sup>Zr-DFO-Daratumumab PET of Myeloma: Immuno-PET Impacting Clinical Care.

Journal of nuclear medicine : official publication, Society of Nuclear Medicine·2025

Related Experiment Video

Updated: Mar 20, 2026

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
07:25

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia

Published on: September 22, 2020

3.8K

A "preamputation care pathway" reduces mortality for lower limb amputation.

Jason Lewis1, Shiva Dindyal2, Hannah Raynor1

  • 1Department of Vascular Surgery, The Princess Alexandra Hospital, Harlow, United Kingdom.

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|May 24, 2016
PubMed
Summary
This summary is machine-generated.

Implementing a preamputation care pathway for lower limb amputation patients reduced 30-day mortality to 10%. This pathway improves perioperative care and survival rates for patients with peripheral arterial disease.

More Related Videos

Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management
03:53

Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management

Published on: March 15, 2024

3.1K
High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model
08:16

High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model

Published on: March 16, 2022

4.1K

Related Experiment Videos

Last Updated: Mar 20, 2026

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
07:25

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia

Published on: September 22, 2020

3.8K
Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management
03:53

Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management

Published on: March 15, 2024

3.1K
High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model
08:16

High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model

Published on: March 16, 2022

4.1K

Area of Science:

  • Vascular Surgery
  • Patient Care Pathways

Background:

  • Lower limb amputation due to peripheral arterial disease is common and presents complex management challenges due to patient comorbidities.
  • Current care for these patients may not be optimized for perioperative outcomes.

Purpose of the Study:

  • To introduce and evaluate a novel "preamputation care pathway" for patients undergoing lower limb amputation.
  • To assess the pathway's impact on reducing patient morbidity and mortality.

Main Methods:

  • Prospective identification of all patients undergoing lower limb amputation over a 12-month period.
  • Data collection on patient demographics and perioperative care metrics.
  • Statistical analysis to compare outcomes before and after pathway implementation.

Main Results:

  • The study included twelve lower limb amputations with a mean patient age of 69 years and a high American Association of Anesthesiologists score (3.36).
  • The implemented "preamputation care pathway" was associated with a 10% 30-day mortality rate.
  • Amputation within 10 days of presentation correlated with higher survival to discharge (80%) compared to amputation after 11 days (25%, P = .0384).

Conclusions:

  • The "preamputation care pathway" shows promise in reducing 30-day mortality for lower limb amputation patients.
  • A structured care model, similar to that for fractured neck of femur, should be considered for amputation patients.
  • Timely intervention through the care pathway appears crucial for improving patient survival outcomes.