RESUMO
Arterial disease (peripheral vascular disease) is the result of narrowing of the blood vessel lumen. The classic clinical signs need to be recognized early before progression to arterial predominant disease and limb ischemia. Arterial ulcers or tissue breakdown can result from trauma, infection, or other etiologies with diabetes, smoking, increasing age, and hypertension the most important risk factors. Diagnostic testing starts with a palpable pulse with special investigation including handheld Doppler for ankle brachial pressure index ratios, segmental duplex leg Doppler waveforms, and more specialized procedures, including transcutaneous oxygen saturation.
Assuntos
Úlcera da Perna/diagnóstico , Doença Arterial Periférica/diagnóstico , Monitorização Transcutânea dos Gases Sanguíneos/métodos , Humanos , Isquemia/complicações , Fluxometria por Laser-Doppler/métodos , Perna (Membro)/irrigação sanguínea , Úlcera da Perna/etiologia , Pessoa de Meia-Idade , Palpação , Doença Arterial Periférica/complicações , Fatores de RiscoRESUMO
OBJECTIVES: The objectives of this article are to describe the therapeutic options available and develop an appropriate clinical approach suitable to the individual needs of the patient with arterial insufficiency, based on the wound bed preparation paradigm. This information will also assist in the integration of decision making regarding appropriate clinical intervention in an interprofessional team approach, according to the International Inter-professional Wound Caring Model 2012, with inclusion of patient-centered concerns within the patient's circle of care.