| Description |
1 online resource (318 p.) |
| Contents |
Intro -- Preface -- Contents -- 1: Introduction -- References -- 2: Seeing a Patient with a Wound -- 2.1 Mastering the Wound Care Physical Exam -- 2.1.1 Vascular Exam -- 2.1.2 Infection -- 2.1.3 Foot Deformity and Soft Tissue Breakdown -- 2.1.4 Direct Assessment of the Wound -- 2.2 How to Classify the Wound -- 2.2.1 When Should I Consider Venous or Mixed Wounds? -- 2.2.2 Managing Neuropathic Wounds -- 2.3 Mixed Wounds: How to Manage? -- 2.4 Basics of Debridement of Wounds -- 2.4.1 Debridement of What Exactly? -- 2.5 Basics of Dressings and When to Make a Change |
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2.6 When Should I Culture? -- 2.7 When Should I Biopsy? -- 2.8 How Do I Biopsy a Wound? -- 2.9 When Should I Not Debride? -- 2.10 Identifying and Managing Calciphylaxis -- 2.11 When Do I Wound Vac? -- 2.12 Offloading -- 2.12.1 Options for Offloading -- 2.12.2 When to Make a Change? -- 2.13 Oxygen Therapy in the Treatment of Chronic Wounds -- 2.13.1 The Simple SALSA Wound Treatment Guideline: Vertical and Horizontal Approach -- 2.13.2 Hyperbaric Oxygen Therapy -- 2.13.3 Topical Oxygen Therapy -- 2.14 Skin Substitutes and Matrixes Demystified |
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2.15 This Patient Needs to be Admitted Now -- 2.16 Soft Tissue Reconstruction Options -- 2.16.1 Reconstructive Options -- 2.16.1.1 Primary Intention -- 2.16.1.2 Secondary Intention -- 2.16.1.3 Skin Grafts -- 2.16.1.4 Adjacent Tissue Transfer -- 2.16.1.5 Regional Flaps -- 2.16.1.6 Free Flaps -- 2.16.2 Amputation Optimization -- References -- 3: Determining the Appropriate Workup -- 3.1 When to Utilize ABI, Arterial Duplex, and Advanced Anatomical Imaging -- 3.1.1 When Should I Order ABI, Toe Pressures, or Arterial Duplex? -- 3.1.2 The Role of PVR and Segmental Pressure Studies |
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3.1.2.1 Segmental Pressures -- 3.1.2.2 Pulse Volume Recordings -- 3.1.3 Role of TBI, TCP02, or Skin Perfusion Pressures -- 3.1.3.1 Toe Brachial Index -- 3.1.3.2 Tissue Oxygen Testing -- 3.1.3.3 Skin Perfusion Pressure -- 3.1.4 When and Why Do I Need Cross-Sectional/Anatomic Imaging? -- 3.1.4.1 Arterial Duplex -- 3.1.4.2 CT Angiography -- 3.1.4.3 Magnetic Resonance Angiography -- 3.1.5 Superficial and Deep Venous Imaging -- 3.1.5.1 Venous Insufficiency Ultrasound Testing -- 3.1.6 When Should I Consider CT or MR Venography? -- 3.1.6.1 Putting it All Together |
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3.2 Interpreting the ABI, TBI, and Toe Pressures: Know the Pitfalls -- 3.2.1 Ankle-Brachial Index -- 3.2.2 Toe Brachial Index -- 3.2.3 Toe Pressures/TcPO2 -- 3.2.4 Pitfalls When Interpreting ABIs -- 3.3 Interpreting the CT and MRI: Know the Limitations -- 3.3.1 CT and MRI: Arterial Imaging -- 3.3.1.1 CT Arteriography (CTA) -- 3.3.1.2 Contrast-Enhanced MR Arteriography (CE-MRA) -- 3.3.1.3 Non-Contrast MR Arteriography (NC-MRA) -- 3.3.2 CT and MRI: Venous Imaging -- 3.3.2.1 CT Venography (CTV) -- 3.3.2.2 Contrast-Enhanced MR Venography (MRV) |
| Summary |
This book is a comprehensive guide to the essentials of arterial, venous, wound care, and multidisciplinary approaches to prevent major amputation and manage patients with critical limb threatening ischemia (CLTI). Limb preservation has become increasingly prioritized as endovascular techniques, equipment, understanding of multidisciplinary wound care, and other medical treatments have rapidly evolved. Quite often, these patients have CLTI, which is a primarily chronic arterial disease that carries a higher mortality rate than most cancers and cardiovascular diseases. Additionally, complex venous issues contribute to patients losing their limbs, causing significant morbidity to patients and immense cost to the medical system. Many of these patients have diabetes, kidney problems, and hypertension. Due to the advances in the treatment of CLTI and complex venous diseases, medical professionals have been able to decrease major amputations, which cause the higher mortality rate described above. The knowledge of all the approaches, techniques, and management of these patients, however, has been slow to be disseminated. Acting as a structured journey to all aspects of limb preservation, this book begins by covering the basics of understanding wound care patients. This involves beginning wound care management and properly diagnosing the potential underlying processes with non-invasive imaging. From here, clinical pearls and detailed guidance on considering arterial, venous, and lymphatic therapies are covered. Chapters then move into arterial and venous treatment algorithms, from unique to complex approaches, technique tips and tricks, infection and complication management, and future options. Understanding some of the newer approaches such as deep vein arterialization and hybrid surgical approaches is integral in the discussion. Finally, authors cover evaluating the wound post-procedure and long-term, deciding when re-intervention/surgery or amputation (and which type) is needed, and how to tackle the medication management of these complex patients (such as antiplatelets, anticoagulation, diabetes, and nutrition). Chapters are written by a multidisciplinary group of experts, all with an eye towards limb preservation. This is an ideal guide for endovascular specialists, surgeons, podiatrists, infectious disease specialists, and endocrinologists to be able to successfully increase the likeliness of limb preservation for their patients with CLTI and related conditions |
| Notes |
3.3.2.3 Non-Contrast MR Venography (ncMRV) |
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Includes index |
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Online resource; title from PDF title page (SpringerLink, viewed September 27, 2023) |
| Subject |
Limb salvage.
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Blood-vessels -- Endoscopic surgery.
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Wounds and injuries -- Surgery.
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Wound healing.
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Wound Healing
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Blood-vessels -- Endoscopic surgery.
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Limb salvage.
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Wound healing.
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Wounds and injuries -- Surgery.
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| Form |
Electronic book
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| Author |
Madassery, Sreekumar
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Patel, Aesha
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| ISBN |
9783031364808 |
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3031364805 |
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