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Nepravilna oskrba amputiranih prstov = Incorrent preservation of amputated digitsAhčan, Uroš ...Background. A decision to replant is critically dependent on the condition of the amputated digit and the way it was preserved during transport. The most common error is exposing the amputated digit ... to very low temperatures. Preservation directly on ice, on cooling devices in portable refrigerators, oron top of packets of frozen meat often result in a frozen and therefore unusable body digit. Methods. An inquiry questionnaire on correct methods of preservation of amputated digits was conducted on a sample of 30 lay persons, 30 medical students, and 15 physicians. Three simulations of most frequently used methods of preservation of amputated digit were conducted (the correct method; directly on ice; on cooling devices of portable refrigerators). Environment temperature of the (simulated) amputated digits stored was measured. In a retrospective study, hospital records of patients treated at the Clinical department of plastic surgery and burns in Ljubljana between 1998and 2002 were examined. We determined the number of replantations performed, gender of the patients, their age, the mechanism of the injury, thesuccess rate of the replantation, and the duration of hospitalisation. In five case described in detail, we present an inadequate treatment of the amputated digits. Results. The results of the questionnaire survey show that no less than 86.7% of lay person respondents would have treated the injuries in an incorrect way; same holds for 43.4% students of medicine, and 33.3% of practicing physicians. The temperature of the simulated amputated digit remained above 5°C throughout the simulated correct treatment. When preserved directly on ice on or coolant bodies, the temperature dropped below the freezing point and never climbed above 0°C throughout the duration of the simulation (150 minutes). (Abstract truncated at 2000 characters).Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 73, št. 9, sep. 2004, str. 649-655)Type of material - article, component partPublish date - 2004Language - slovenianCOBISS.SI-ID - 18752985
Author
Ahčan, Uroš |
Arnež, Zoran M., 1953- |
Trpin, Eva |
Sancin, Kristjan Demian
Topics
Finger Injuries |
Thumb |
Injuries |
Amputation, Traumatic |
Replantation |
Computer Simulation |
Treatment Outcome |
Questionnaires |
Retrospective Studies |
Organ Preservation |
Amputacija travmatska |
Palec na roki |
Prst, poškodbe |
Replantacija |
Ankete |
Organ, shranjevanje |
Računalniška simulacija |
Retrospektivne študije |
Zdravljenje, izid |
poškodbe |
amputacija |
prsti |
prevoz |
shranjevanje |
replantacija |
kirurško zdravljenje
source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 73, št. 9, sep. 2004, str. 649-655)
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Database name | Field | Year |
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Ahčan, Uroš | 15894 |
Arnež, Zoran M., 1953- | 04917 |
Trpin, Eva | |
Sancin, Kristjan Demian |
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