Hand ischemia treatment

Gouny P, Gaitz JP, Vayssairat M. Acute hand ischemia secondary to intraarterial buprenorphine injection treatment with iloprost and dextran-40—a case report. Angiology 1999 50(7) 605-6. 

Fig.1. Treatment strategy of hand ischemia at the wrist - performing a distal radial artery ligation. 

Treatment of Hand Ischemia at the Elbow in Patients with Normal VA Flow... 

Aimaq R, Katz SG Using distal revasculariza- 11 tion with interval ligation as primary treatment of hand ischemia after dialysis access creation. J Vase Surg 2013 57 1073-1078. 

Critical hand ischemia after angioaccess siu -gery diagnosis and treatment. Ann Vase Surg 2000 14 583-593. 13... 

Sessa C, Riehl G, Porcu P, et al Treatment of hand ischemia following angio-access surgery using the distal revascularization interval-ligation technique with preservation of vascular access description of an 18-case series. 14 Ann Vase Surg 2004 18 685-694. 

The relief produced by intravenous morphine in dyspnea from pulmonary edema associated with left ventricular heart failure is remarkable. Proposed mechanisms include reduced anxiety (perception of shortness of breath), and reduced cardiac preload (reduced venous tone) and afterload (decreased peripheral resistance). However, if respiratory depression is a problem, furosemide may be preferred for the treatment of pulmonary edema. On the other hand, morphine can be particularly useful when treating painful myocardial ischemia with pulmonary edema. 

The main role of mild hypothermia against stroke may, perhaps, be to extend the therapeutic window of other treatment modalities. On the other hand, hypothermia is by far the most potent neuroprotectant available against experimental cerebral ischemia, and new technological advances are now facilitating its implementation in the clinical setting. Understanding the mechanisms by which mild hypothermia exerts its neuroprotective effects will allow us to optimize its use as a therapeutic strategy. 

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