Need to know details of a "Fem Fem" Bypass for Medical Research Paper? - patient positioning for shortness of breath
Please someone can help! I need to know what a FEM bypass surgery (preparation, covering the effect of anesthesia, patients) position, is composed to my classmates to teach the classroom laboratory. Any information would be very grateful! And for the record, I have a lot of internet searches in vain. I hope someone can these questions, the answer you have experience with. And I was the site of his reply, thank you!
Friday, February 12, 2010
Patient Positioning For Shortness Of Breath Need To Know Details Of A "Fem Fem" Bypass For Medical Research Paper?
2 comments:
I can help you with anesthesia, a little.
Because the operation is performed on the lower half of the body, which can be performed under general or regional anesthesia. These are usually done in general, because most vascular surgeons are so freakin 'long to do, and also people excited with a regional bloc.
Do some things that point to the anesthesia all these patinete vasculopathy have is - your arteries are garbage. The arteries of the legs are not different arteries of the heart and brain, so we expect a greater incidence of heart attacks and strokes, and should take steps to avoid this.
The test samples, it is essential to ensure that no heart has to be corrected, and coronary arteryDisease, with optimal management. Control of blood pressure is also important, because if it does not pre-op, which is a nightmare for the monitoring of intra-op.
The maintenance of a semi-normal blood pressure can be a challenge. Some patients have a high and needs to be to lower blood pressure down medical. The other (more often) in my experience, tend to the pressure and need help BP reduce sometimes with a drop of phenylephrine.
If you expect a lot of blood loss, a protector of cells are available. Sometimes we have to transfer in these patients, especially if it started with a low HCT and have a bad heart.
Positioning is simple - they are on the back. Most are intubated and ventilated, but the paralysis is usually not necessary (unless«Back to smoke, and try to) the tube into the trachea and lower frequency limit. Almost all these patients are or were smokers.
This is one of many methods suffer from the patient. The same patient is likely to return fem-pop, then start amputations - transmetatarsal, BKA, AKA. It's just a matter of time.
Preparation of the skin is usually the nipples to the knees, if the surgeon has to go further into the stomach and the involvement of the aorta in the procedure. All the curtains a little different, but they tend to put sterile drapes secured watertight sack on his feet, and with Coban. The remaining land is covered with blankets, and probably a big draw.
Here are some articles:
http://www.emedicine.com/med/topic2759.h
http://www.jcn.co.uk/journal.asp?MonthNu ...
http://www.nlm.nih.gov/medlineplus/tutor ...
I hope that helps.
And some information from the other side of the curtain ...
A FEM-FEM is blocked when one of the iliac arteries of the patient. Cutdown are both in the bar. A Gore-Tex (PTFE or similar), then tunnel through the tissue of the abdomen. Normally, you connect a femoral artery (CFA), an on the opposite side. Each end is planted in a hole in the CFA zone. Once the flow, then a Doppler is often used to increase blood flow in the ankle on the "bad check".
If all goes well, closing the cutdown. But "simple" operation.
Or not. When the anesthesiologist, many vascular patients really sick. Bad heart, lungs, etc. through the live event requires a team passEffort.
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