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相关概念视频

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

11
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...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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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...
12
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

224
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
224
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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 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,...
12
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

59
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
59
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

479
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
479

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Updated: Jul 24, 2025

Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity
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对于外周血管干预的替代性接入.

Andrea G Alonso1, Anna Kobzeva-Herzog1, Jeffrey J Siracuse1

  • 1Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA.

Journal of vascular surgery cases and innovative techniques
|July 6, 2023
PubMed
概括
此摘要是机器生成的。

皮肤内血管干预可以有效地挽救慢性肢体威胁性缺血的肢体. 本综述探讨了超越膜转移方法的替代接入点,以解决具有挑战性的外周动脉疾病病例.

关键词:
周围动脉疾病是什么?外周血管干预是指外周血管干预.跨脚踏车接入方式跨人口通道的通道.跨射线接入 跨射线接入

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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
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科学领域:

  • 血管外科 血管外科
  • 干预心脏病学 干预心脏病学
  • 血管内干预 血管内干预

背景情况:

  • 晚期下肢外周动脉疾病 (PAD) 和慢性四肢威胁性缺血症 (CLTI) 越来越多地通过皮肤内血管干预进行管理.
  • 内血管技术可提供安全有效的重血管化,特别是在高风险的手术患者中.
  • 标准的转移方法有其局限性,高达20%的病变难以获得.

研究的目的:

  • 审查在CLTI和PAD的内血管管理中使用的替代动脉接入部位.
  • 讨论与肢体救援的各种替代性访问策略相关的结果.

主要方法:

  • 文献审查,重点关注PAD和CLTI的内血管干预措施.
  • 讨论替代接入点,包括跨辐射,跨人群,跨脚踏,跨手臂和跨的方法.
  • 对每种方法的技术成功,穿透率和肢体救援结果的分析.

主要成果:

  • 替代性接入点对于管理CLTI和PAD中具有挑战性的病变至关重要.
  • 跨射线,跨骨和跨脚步的方法提供了可行的选择,当transfemoral访问是不成功的.
  • 这些替代方法有助于在复杂的外周动脉疾病病例中成功挽救四肢.

结论:

  • 替代性内血管接入点对于周围动脉疾病的综合管理和肢体救援至关重要.
  • 探索不同的接入途径扩大了慢性肢体威胁性缺血症患者的治疗选择.
  • 优化访问策略可以改善挑战下肢干预的结果.