Scribd Logo
Upload

Welcome to Scribd!

  • Peripheral Vascular Injury

    Uploaded by

    'itii Diah
    2 views1 page
    Peripheral vascular injuries require a thorough neurovascular exam and assessment of pulse, Doppler signals, and extremity temperature and color. Suspected injuries due to mechanism or exam findings should get a CT angiogram or angiography, and possible exploration. To assess severity, the ankle brachial index is calculated by measuring the closing pressure of the calf and arm with a Doppler and blood pressure cuff to compare ankle to brachial pressures.

    Original Description:

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Peripheral vascular injuries require a thorough neurovascular exam and assessment of pulse, Doppler signals, and extremity temperature and color. Suspected injuries due to mechanism or exam findings should get a CT angiogram or angiography, and possible exploration. To assess severity, the ankle brachial index is calculated by measuring the closing pressure of the calf and arm with a Doppler and blood pressure cuff to compare ankle to brachial pressures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    2 views1 page

    Peripheral Vascular Injury

    Uploaded by

    'itii Diah
    Peripheral vascular injuries require a thorough neurovascular exam and assessment of pulse, Doppler signals, and extremity temperature and color. Suspected injuries due to mechanism or exam findings should get a CT angiogram or angiography, and possible exploration. To assess severity, the ankle brachial index is calculated by measuring the closing pressure of the calf and arm with a Doppler and blood pressure cuff to compare ankle to brachial pressures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    100

    Guidelines for Peripheral Vascular Injury


    Blunt or penetrating
    extremity injury
    Neurovascular
    exam
    Abnormal
    Suspected vascular injury due to:
    Proximity to major vessel
    Diminished pulse
    Diminished Doppler
    Cool/mottled extremity
    Mechanism of injury
    -Knee dislocation
    -supracondylar fx
    Ankle Brachial
    Index (see below)
    ABI <=0.9
    CTA or Angiography
    and/or exploration in
    the OR
    ABI >0.9
    Serial exams
    Normal
    ABI Procedure:
    On the lower extremity, a manual BP cuff is placed on the calf. A hand-held
    Doppler is used to find either the PT or DP pulse. WHILE LISTENING to the
    Doppler, the cuff is slowly inflated. The closing or occlusion pressure (where
    the Doppler pulse signal disappears) is recorded
    The other extremity is similarly measured
    The identical technique is used to measure the closing pressure in the arm
    A comparison of ankle to brachial closing pressures is recorded and calculated

    Revised 01/29/2010

    You might also like