The effect of dobutamine treatment on salvage of digital replantation and revascularization.
Dobutamine infusion
No reflow
Replantation
Salvage surgery
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
28
01
2023
accepted:
20
06
2023
medline:
26
9
2023
pubmed:
27
6
2023
entrez:
27
6
2023
Statut:
ppublish
Résumé
One of the most common causes of a failure after replantation and revascularization surgeries is 'no reflow' from proximal artery that occurs, especially following crush and avulsion injuries. In this study, we aimed to evaluate the effect of dobutamine treatment on salvage of replanted and revascularized digits. The patients with no reflow phenomenon detected in the salvage operations of replanted/revascularized digits between the years 2017 and 2020 were included in the study. Dobutamine treatment was infused at a rate of 4 µg·kg The phenomenon of 'no reflow' was encountered in 35 digits of 22 patients who underwent salvage surgery due to vascular compromise. The survival rate in the revascularization group was 75%, while it was 42.1% in the replanted digits. Metaphysis level of proximal phalanx was the most common localization for 'no reflow' phenomenon. The least values of CI, MAP and HR to obtain sufficient perfusion in salvaged digits were as follows: 4.2 l.min It was demonstrated that dobutamine infusion at a rate of 4 µg·kg
Identifiants
pubmed: 37367969
doi: 10.1007/s00068-023-02312-x
pii: 10.1007/s00068-023-02312-x
doi:
Substances chimiques
Dobutamine
3S12J47372
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2113-2120Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.
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