Transperitoneal (supine patient) Retroperitoneal Easy access to upper extremities for line placement Centripetal obesity and fatty abdominal viscera displaced Bilateral groin access Easy access to thoracic aorta and suprarenal aorta…
Fig. 1.1 Approximate range of odds ratios for risk factors for symptomatic peripheral arterial disease (Reprinted from Norgren et al. with permission from Elsevier [9] Hyperhomocysteinemia Hyperhomocysteinemia may be an…
Restriction of compartment size Increased compartment volume From hemorrhage Fractures Casts Vascular injury Splints Drugs (anticoagulants) Burn eschar Hemophilia; sickle cell Tourniquets From muscle edema/swelling Tight dressings Crush –…
Fig. 19.1 An ulcerated skin ulcer directly overlying an arteriovenous fistula. Hemorrhage from the ulcer is being controlled with manual pressure immediately before surgical repair in the operating room The…
Fig. 23.1 CT scan without contrast showing a retroperitoneal hematoma (RH) Treatment Although a widely accepted consensus on the management of patients with RPH does not exist, a reasonable treatment…
Clinical classification C0 No disease C1 Telangiectasia C2 Varicose veins C3 Edema C4a Hemosiderin deposition, venous stasis dermatitis C4b Lipodermatosclerosis C5 Healed venous ulcer C6 Active/open venous ulcer Etiologic classification…
History No Yes Comments Previous AV access Previous central catheter, PICC line, pacemaker, or defibrillator Previous venous disease (DVT, superficial thrombophlebitis) Intravenous drug abuse Arm disability, relevant activities Previous surgery …
Absolute indications for amputation Relative indications for amputation Nonsalvageable foot or lower extremity due to extensive tissue loss Severe Charcot foot deformity limiting functional status Nonsalvageable foot or lower extremity…
Fig. 14.1 Traditionally defined zones of the neck Fig. 14.2 This blast injury with multiple fragments bilaterally in zones I and II defies traditional classification Initial Assessment As with any…
Tunneled catheters Non-tunneled catheters Dialysis catheter with a cuff (permanent) Dialysis catheters non-cuffed (acute not permanent) Implantable access ports Central line Hickman Swan-Ganz catheters Broviac Peripherally inserted central catheter (PICC)…
