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Examination The patient was awake and alert with a heart rate of 120 beats per minute, a systolic blood pressure of 80 mm Hg, and a base deficit of −10. The open shotgun wound was too proximal to allow for the placement of a tourniquet or blood pressure cuff, so continuous pressure was applied. The...

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Bibliographic Details
Published in:	Trauma surgery & acute care open Vol. 4; no. 1; p. e000299
Main Author:	Feliciano, David V
Format:	Journal Article
Language:	English
Published:	England BMJ Publishing Group Ltd 20-03-2019 BMJ Publishing Group LTD BMJ Publishing Group
Subjects:	arterial repair Blood pressure Case of the Month femoral artery graft Plastic surgery Skin & tissue grafts Sutures Trauma vascular injury Veins & arteries vascular injury arterial repair graft femoral artery
Online Access:	Get full text
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Summary:	Examination The patient was awake and alert with a heart rate of 120 beats per minute, a systolic blood pressure of 80 mm Hg, and a base deficit of −10. The open shotgun wound was too proximal to allow for the placement of a tourniquet or blood pressure cuff, so continuous pressure was applied. The saphenous vein graft was placed in this new extra-anatomic location. A Bakes dilator or long Kelly clamp is used to bluntly create a subcutaneous gently curved tunnel from the healthy proximal vessel around the area of injury to the healthy distal vessel.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2397-5776 2397-5776
DOI:	10.1136/tsaco-2019-000299