5. Akute Extremitätenischämie (ALI) Flashcards by Ian Paglione

Q

(ALI)

Stadieneinteilung

A

nach Rutherford

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Q

(ALI)

Stadien nach Rutherford

A

I, IIa, IIb, III

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Q

(ALI)

Stadium I: Charakteristiken (2)

A

normale Sensibilität
normale Motorik

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Q

(ALI)

Stadium I: Doppler-Signal (2)

A

arteriell nachweisbar
venös nachweisbar

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Q

(ALI)

Stadium I: Therapie

A

zeitgerechte Revaskularisation

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Q

(ALI)

Stadium IIa: Charakteristiken (2)

A

minimale Sensibilitätsstörungen
normale Motorik

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Q

(ALI)

Stadium IIa: Doppler-Signal (2)

A

arteriell nicht nachweisbar
venös nachweisbar

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Q

(ALI)

Stadium IIa: Therapie

A

zeitgerechte Revaskularisation

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Q

(ALI)

Stadium IIb: Charakteristiken (3)

A

milde bis moderate Sensibilitätsstörungen
Ruheschmerz
mäßige motorische Defizite

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Q

(ALI)

Stadium IIb: Doppler-Signal (2)

A

arteriell nicht nachweisbar
venös nachweisbar

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Q

(ALI)

Stadium IIb: Therapie

A

sofortige Revaskularisation

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Q

(ALI)

Stadium III: Charakteristiken (2)

A

kompletter Sensibilitätsverlust
Paralyse (Rigor)

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Q

(ALI)

Stadium III: Doppler-Signal (2)

A

arteriell nicht nachweisbar
venös nicht nachweisbar

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Q

(ALI)

Stadium III: Therapie (2)

A

sofortige Revaskularisation

(ggf. Amputation)

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Q

(ALI)

Leitsymptome (6)

A

(6P)

Pain (Schmerz)
Paleness (Blässe)
Pulselessness (Pulslosigkeit)
Paralysis (Bewegungsstörung)
Paresthesia (Sensibilitätsstörung)
Perishingly cold / Prostration (Schock)

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Q

(ALI)

therapiebedingte Komplikation

A

Reperfusionssyndrom

(Postischämiesyndrom)

(Tourniquet-Syndrom)

Q

(ALI)

Reperfusionssyndrom: mögliches Symptom

A

Kompartimentsyndrom

Q

(ALI)

Reperfusionssyndrom: Ausprägung

A

bei ausgedehnteren Verschlüssen > 4-6 h

Q

(ALI)

Vorgehen im Notfall (3)

A

Tieflagerung und Polsterung
Antikoagulation mit Heparin
Analgesie mit Opioid

Q

(ALI)

Revaskularisation: Möglichkeiten (4)

A

Katheterembolektomie nach Fogarty
offene Thrombektomie
Thrombendarteriektomie (TEA) mit Patch-Plastik
Bypassanlage