Chapter 19. Acute Limb Ischaemia

  1. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer1,2,
  2. Bryan A. Cotton MD, MPH Associate Professor3,
  3. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer2,4 and
  4. Col Peter F. Mahoney OBE, TD, MSc, FRCA, RAMC Defence Professor5
  1. Matthew Button4 and
  2. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer2,4

Published Online: 10 MAR 2010

DOI: 10.1002/9781444315172.ch19

Emergency Surgery

Emergency Surgery

How to Cite

Button, M. and Tai, N. (2010) Acute Limb Ischaemia, in Emergency Surgery (eds A. Brooks, B. A. Cotton, N. Tai and P. F. Mahoney), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315172.ch19

Editor Information

  1. 1

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  2. 2

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  3. 3

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

  4. 4

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

  5. 5

    RCDM Birmingham Research, Park Vincent Drive, Birmingham, UK

Author Information

  1. 2

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  2. 4

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

Publication History

  1. Published Online: 10 MAR 2010
  2. Published Print: 31 JAN 2010

ISBN Information

Print ISBN: 9781405170253

Online ISBN: 9781444315172

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Keywords:

  • acute limb ischaemia;
  • acutely ischaemic limb, symptoms present for less than 2 weeks;
  • acute presentations of ischaemic limbs - declining over recent years;
  • differentiation between embolism and thrombosis - made clinically;
  • clinical markers of limb viability;
  • aims of preoperative treatment to relieve pain;
  • patient-specific management;
  • acute arterial embolism;
  • thrombolysis involving delivery of tissue plasminogen activator - directly into thrombosed vessel;
  • acute-on-chronic ischaemia

Summary

This chapter contains sections titled:

  • Introduction

  • Clinical presentation

  • Investigation

  • Management

  • Patient-specific management