5. Akute Extremitätenischämie (ALI) Flashcards by Ian Paglione | Brainscape

Q

(ALI)

Einteilung

A

Rutherford

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Q

(ALI)

Stadien nach Rutherford

A

I
IIa
IIb
III

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Q

(ALI)

Stadium I: Sensibilität

A

normal

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Q

(ALI)

Stadium I: Motorik

A

normal

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Q

(ALI)

Stadium I: Doppler-Signal (2)

A

arteriell nachweisbar
venöse nachweisbar

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Q

(ALI)

Stadium I: Therapie

A

zeitgerechte Revaskularisierung

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Q

(ALI)

Stadium IIa: Sensibilität

A

minimale Sensibilitätsstörungen

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Q

(ALI)

Stadium IIa: Motorik

A

normal

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Q

(ALI)

Stadium IIa: Doppler-Signal (2)

A

arteriell nicht nachweisbar
venöse nachweisbar

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Q

(ALI)

Stadium IIa: Therapie

A

zeitgerechte Revaskularisierung

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Q

(ALI)

Stadium IIb: Sensibilität (2)

A

milde bis moderate Sensibilitätsstörungen (Ruheschmerz)

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Q

(ALI)

Stadium IIb: Doppler-Signal (2)

A

arteriell nicht nachweisbar
venöse nachweisbar

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Q

(ALI)

Stadium IIb: Motorik

A

mäßige Defizite

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Q

(ALI)

Stadium III: Sensibilität

A

kompletter Sensibilitätsverlust

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Q

(ALI)

Stadium III: Motorik (2)

A

Paralyse (Rigor)

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Q

(ALI)

Stadium IIb: Therapie

A

sofortige Revaskularisation

Q

(ALI)

Stadium III: Therapie (2)

A

sofortige Revaskularisierung (ggf. Amputation)

Q

(ALI)

Stadium III: Doppler-Signal (2)

A

arteriell nicht nachweisbar
venöse nicht nachweisbar

Q

(ALI)

Leitsymptome (6)

A

(6P)

Pain (Schmerz)
Paleness (Blässe)
Pulselessness (Pulslosigkeit)
Paralysis (Lähmung)
Paresthesia (Sensibilitätsstörung)
Prostration (Schock)

Q

(ALI)

Komplikation (3)

A

Tourniquet- oder

Reperfusions- oder

Postischämiesyndrom

Q

(ALI)

Tourniquet-Syndrom: Leitsymptom

A

Kompartimentsyndrom

Q

(ALI)

Tourniquet-Syndrom: Pathophysiologie

A

insb. 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

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