scholarly journals Nursing Care of Vagal Reflex after Interventional Treatment for Acute Lower Limb Arterial Embolism

2015 ◽  
Vol 04 (02) ◽  
pp. 41-45
Author(s):  
博 王
Keyword(s):  
Nursing Care ◽  
Lower Limb ◽  
Interventional Treatment ◽  
Arterial Embolism ◽  
Vagal Reflex

scholarly journals Septic emboli resulting in an acutely ischaemic lower limb: a case report

2012 ◽  
Vol 94 (2) ◽  
pp. e60-e61 ◽  
Author(s):  
M Ahmed
Keyword(s):  
Staphylococcus Aureus ◽  
Case Report ◽  
Lower Limb ◽  
Arterial Embolism ◽  
Cardiac Pathology ◽  
Septic Emboli ◽  
Common Causes ◽  
The Common ◽  
Staphylococcus Aureus Pneumonia

Sources of arterial embolism range from the common, such as cardiac pathology, to less common causes. We present a case of an acutely ischaemic lower limb due to septic emboli from Staphylococcus aureus pneumonia.

scholarly journals Analysis of associated diseases in patients with acute critical lower limb ischemia

2013 ◽  
Vol 66 (1-2) ◽  
pp. 41-45 ◽  
Author(s):  
Vladimir Manojlovic ◽  
Vladan Popovic ◽  
Dragan Nikolic ◽  
Djordje Milosevic ◽  
Janko Pasternak ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Lower Limb ◽  
Balloon Catheter ◽  
Limb Ischemia ◽  
Lower Limbs ◽  
Metabolic Decompensation ◽  
Arterial Embolism ◽  
Lower Limb Ischemia ◽  
Associated Diseases ◽  
Arterial Blood

Introduction. Acute critical lower limb ischemia refers to the state of severely impaired vitality of lower limbs due to acute occlusion of arterial blood vessel by a thrombus or emboli. Surgical revascularization in the first 6-12 hours after the onset of symptoms gives the best results. However, a high mortality rate and probability of limb loss make this problem more debatable, and can be related with associated diseases. Material and Methods. This research included 95 patients who had been operated within the first 12 hours after the onset of symptoms of critical limb ischemia. We collected the following data: age and sex of patients, etiology of limb ischemia, type of operation, associated diseases and outcome of treatment. Results and Discussion. Most of the patients were 70 to 80 years old, both sexes being equally represented. There was significantly more arterial embolism (70%) than thrombosis on the prior arterial lesion. Most of the embolizations were treated with Fogarty balloon catheter embolectomy (98%); however, a great number of arterial thrombosis demanded more complex ?inflow? and ?outflow? ensuring procedures such as thromboendarterectomy and bypass (33%). The performed surgical procedures showed no statistical differences when final outcome was analyzed. Amputation had to be performed in about 3% of the patients and all of them were diabetics. Mortality rate in this research was 10.5% and 7/10 with this outcome had severe form of chronic myocardiopathy and metabolic decompensation. Conclusion. Acute critical lower limb ischemia should be treated surgically as soon as possible. Negative outcomes are associated with comorbidity and general condition of the patient.

Non-pharmacological treatment of lower extremity varicose veins in patients who are not classified for surgical treatment

2017 ◽  
Vol 2 (3) ◽  
pp. 111-120
Author(s):  
Zuzanna Radosz ◽  
Małgorzata Ptaszyńska
Keyword(s):  
Surgical Procedures ◽  
Lower Limb ◽  
Pharmacological Treatment ◽  
Varicose Veins ◽  
Compression Therapy ◽  
Interventional Treatment ◽  
Invasive Treatment ◽  
Class I Obesity ◽  
Vein Thrombosis ◽  
Deep Vein

The purpose of this study is to discuss non-pharmacological methods of lower limb varices treatment for patients not qualified for surgical procedures. These methods can be used by both nurses and patients. There are the following types of varices treatment: interventional treatment, compression therapy and other non-pharmacological methods. Surgery is a traditional method of treatment, however it is not suitable for lower limb arterial ischemia, deep vein patency, haemorrhagic diathesis, deep vein thrombosis, acute infectious disease, pregnancy and class I obesity (BMI>29). In the abovementioned cases the following types of non-invasive treatment are recommended: compression therapy and other such non-pharmacological methods as; limb elevation, diet, hardening of the arteries in the affected limb, proper footwear selection and physical activity. Despite the degree of severity of the condition and undertaken surgical procedures the preventive medical treatment should be considered in the therapy as it (the therapy) significantly affects the further development of varicose veins and the severity of ailments related to the disease. Results of a number of studies confirm the importance of the integrity between pharmacological and non-pharmacological treatment.

scholarly journals Fatal Paraneoplastic Embolisms in Both Circulations in a Patient with Poorly Differentiated Neuroendocrine Tumour

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
A. Busch ◽  
S. Tschernitz ◽  
A. Thurner ◽  
R. Kellersmann ◽  
U. Lorenz
Keyword(s):  
Lower Limb ◽  
Neuroendocrine Tumour ◽  
Limb Ischemia ◽  
Rapid Progress ◽  
Unique Case ◽  
Arterial Embolism ◽  
Unfractioned Heparin ◽  
Rare Manifestation ◽  
Poorly Differentiated ◽  
High Doses

Arterial embolism with lower limb ischemia is a rare manifestation of paraneoplastic hypercoagulability in cancer patients. We report a unique case of fatal thromboembolism involving both circulations associated with a poorly differentiated neuroendocrine tumor of the lung with rapid progress despite high doses of unfractioned heparin and review the current literature on anticoagulative regimen in tumour patients.

scholarly journals Outcome of Early Surgical Intervention in Acute Lower Limb Ischemia due to Thromboembolism

2014 ◽  
Vol 7 (1) ◽  
pp. 38-43
Author(s):  
QA Azad ◽  
NAK Ahsan ◽  
AM Asif Rahim ◽  
SAN Alam ◽  
M Rahman
Keyword(s):  
Lower Limb ◽  
Surgical Intervention ◽  
Limb Ischemia ◽  
Artery Occlusion ◽  
Arterial Embolism ◽  
Vascular Flow ◽  
Femoral Artery Occlusion ◽  
Group A ◽  
Group B ◽  
Early Surgical Intervention

Background: Acute lower extremity ischemia is a common vascular disease and considered limb- and life- threatening. The present study evaluated and compared the outcome of early and late surgical intervention in acute lower limb ischemia due to thromboembolism. Methodology: This non randomized comparative parallel study was conducted at the Department of Cardiovascular Surgery, NICVD, Dhaka, Bangladesh from January 2007 to December 2008 for duration of two year. Total 80 patients were enrolled in this study. The patients were divided into equal two groups, Group A, for early surgical intervention (with in 24 hours) and Group B, late surgical intervention (more than 24 hours). Results: Mean (±SD) age of both Group A and Group B was 51.93 (±11.73) and 47.00 (± 11.01) years. Male and female ratio of the total study population was 1.76:1 Pain and absence of pulse distal to occlusion was common for all. Cold extremity, sensory deficit, motor deficit, diminish vascular flow was the commonest findings of both group. In Group A, 57.5% had superficial femoral artery occlusion, 22.5% had iliac artery and 20.0% popliteal artery occlusion. In Group B, 42.5% had superficial femoral artery occlusion, 32.5% had popliteal artery occlusion and 25.0% had iliac artery occlusion. Fasciotomy was performed in 15.0% patients of Group A and in 22.0% patients of Group B. After Fogarty embolectomy in group A and group B had warm extremity (80.0% vs. 65.0%), pulsation distal to occlusion (90.0% vs. 75.0%), intact sensory function (82.5% vs. 67.5%), intact motor function (80.0% vs. 65.0%), and normal vascular flow by Doppler US (80.0% vs. 65.0%). During postoperative period history of bleeding, infection, reperfusion injury, muscle necrosis and limb amputation were 12.5% vs. 10.0%, 5.0% and 7.5%, 17.5% vs. 35.0%, 15.0% vs. 12.5% and 37.5% vs. 32.5% respectively. Conclusion: Duration of embolism may be the significant factor determining the outcomes of the management of acute arterial embolism in the lower extremities. The 24- hour duration of arterial embolism is a crucial factor influencing the surgical the management and early diagnosis and shifting of patients to specified centre as early as possible to save limb as well as life. DOI: http://dx.doi.org/10.3329/cardio.v7i1.20799 Cardiovasc. j. 2014; 7(1): 38-43

scholarly journals Decreased activity of daily living produced by the combination of Alzheimer’s disease and lower limb fracture in elderly requiring nursing care

2012 ◽  
Vol 18 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Toshimitsu Inagawa ◽  
Toshio Hamagishi ◽  
Yuji Takaso ◽  
Yoshiaki Hitomi ◽  
Yasuhiro Kambayashi ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nursing Care ◽  
Lower Limb ◽  
Daily Living ◽  
Activity Of Daily Living ◽  
Limb Fracture
Sign in / Sign up

Export Citation Format

Share Document