Perfusion Assessment and Treatment in the Diabetic Patient. [Review]

Perfusion Assessment and Treatment in the Diabetic Patient. [Review] - 2019

Available online through MWHC library: 2002 - present

Copyright (c) 2019 Elsevier Inc. All rights reserved. The accurate assessment of peripheral perfusion is a critical step in caring for a diabetic patient with active ulceration. This article guides the provider through diagnostic and therapeutic options. The perfusion assessment begins with a physical examination and augmented using noninvasive tests. Although some of these tests can be performed at the bedside, often a dedicated vascular laboratory is required. Additional cross-sectional imaging studies or formal angiography should be performed as well. These tools aid in the creation of the best therapeutic plan, which aims to restore perfusion and allow for rapid wound healing via open or endovascular means.


English

0891-8422

10.1016/j.cpm.2019.03.001 [doi] S0891-8422(19)30025-4 [pii]


*Diabetes Mellitus/pp [Physiopathology]
*Diabetic Foot/su [Surgery]
*Peripheral Arterial Disease/di [Diagnosis]
*Peripheral Arterial Disease/su [Surgery]
Ankle Brachial Index
Blood Circulation/ph [Physiology]
Blood Pressure/ph [Physiology]
Diabetic Foot/dg [Diagnostic Imaging]
Diagnostic Imaging
Endovascular Procedures
Foot/bs [Blood Supply]
Foot/dg [Diagnostic Imaging]
Humans
Peripheral Arterial Disease/pp [Physiopathology]
Physical Examination
Pulse
Vascular Surgical Procedures


MedStar Washington Hospital Center


Surgery/Vascular Surgery


Journal Article
Review

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