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Critical Limb Ischemia pp 337–347Cite as

Vascular Issues in Thermal Injury

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Abstract

Thermal injury alone can be a devastating event with long-standing effects on wound healing. The presence of vascular disease severely complicates this already difficult clinical situation. Vascular disease, as manifested by arterial and venous insufficiency, is increasing in its prevalence and incidence. This chapter will focus on the known physiological changes in response to thermal injury in particular of the lower extremity arterial system. Initial evaluation and subsequent treatments for the patient with suspected vascular disease in the setting of thermal injury is detailed. The current state of the literature will be reviewed in regard to what is known about the alteration in vascular bed response to a thermal injury as well as the known complications of thermal injury in diabetic patients. A proposed algorithm will be detailed in terms of appropriate perfusion assessment and when a vascular consultant should be involved in the care of a thermally injured patient. Finally, a clinical case example with approach to this patient population will be detailed.

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Authors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Critical Care Hospital, Virginia Commonwealth University, 8th Floor, 1213 East Clay St., Richmond, VA, 23298, USA

    Michael J. Feldman MD

  2. Division of Vascular Surgery, Department of Surgery, VCU Medical Center, McGuire VA Medical Center, Richmond, VA, USA

    Michael Fiore Amendola MA, MD

Authors
  1. Michael J. Feldman MD
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  2. Michael Fiore Amendola MA, MD
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Editor information

Editors and Affiliations

  1. Loyola University Medical Center, Maywood, Illinois, USA

    Robert S. Dieter

  2. Northwestern Medicine Central DuPage Hospital, Glen Ellyn, Illinois, USA

    Raymond A. Dieter, Jr

  3. The University of Tennessee Medical Center, Knoxville, Tennessee, USA

    Raymond A. Dieter, III

  4. West Virginia University, Charleston, West Virginia, USA

    Aravinda Nanjundappa

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Feldman, M.J., Amendola, M.F. (2017). Vascular Issues in Thermal Injury. In: Dieter, R., Dieter, Jr, R., Dieter, III, R., Nanjundappa, A. (eds) Critical Limb Ischemia. Springer, Cham. https://doi.org/10.1007/978-3-319-31991-9_31

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  • DOI: https://doi.org/10.1007/978-3-319-31991-9_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31989-6

  • Online ISBN: 978-3-319-31991-9

  • eBook Packages: MedicineMedicine (R0)

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