Rich’s Vascular Trauma

4th Edition - August 12, 2021
Editors: Todd E. Rasmussen, Nigel R M Tai
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 6 9 7 6 6 - 8
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 6 9 7 6 7 - 5

For more than 40 years, Rich's Vascular Trauma has been surgeons’ #1 reference for the diagnosis and treatment of vascular injury in both civilian and military settings across the… Read more

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For more than 40 years, Rich's Vascular Trauma has been surgeons’ #1 reference for the diagnosis and treatment of vascular injury in both civilian and military settings across the globe. Published in association with the Society for Vascular Surgery (SVS),the fully updated 4th Edition reflects recent changes in vascular injury patterns, wounds, and trauma care, drawing from current research and a wide variety of peer-reviewed publications to keep you up to date with the latest evidence-based management strategies and techniques. Written and edited by vascular surgeons who are also trauma specialists—civilian and military experts who have proficiency in both open-surgical and endovascular techniques—this must-have reference offers a global perspective on every aspect of the broad spectrum of vascular trauma.

Cover image
Title page
Table of Contents
Any screen, Any time, Anywhere
Copyright
List of Contributors
Foreword
Preface to the Fourth Edition of Rich’s Vascular Trauma
Surgical Trainee’s Perspective
Introduction
Subject: Critical First Steps and Damage Control Resuscitation (Chapters 5 and 6)
Subject: Injury Identification and Diagnostic Workup (Chapters 7 and 8)
Subject: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) (Chapter 11)
Subject: Temporary Vascular Shunts (Chapter 23)
Subject: Neck Injury (Chapter 20)
Subject: Upper Extremity and Junctional Zone Injuries (Chapter 21)
Subject: Blunt Thoracic Aortic Injury (Chapter 17)
Subject: Cardiac, Great Vessel and Pulmonary Injuries (Chapter 16)
Subject: Aortic, Iliac and Visceral Arterial Injuries (Chapter 18)
Subject: Inferior Vena Cava, Portal and Mesenteric Venous Injuries (Chapter 19)
Subject: Lower Extremity Vascular Trauma (Chapter 22)
Subject: Soft-Tissue and Skeletal Wound Management in the Setting of Vascular Injury (Chapter 26)
Subject: Management of Pediatric Vascular Injury (Chapter 25)
Section 1: Setting the Stage
1. The Vascular Injury Legacy
Abstract
Initial Control of Hemorrhage
Early Vascular Surgery
World War I Experience
World War II Experience
Experiences During the Korean War
Vietnam via Gulf War 1991 to Afghanistan and Iraq
Civilian Experience
Conclusion
References
2. Epidemiology of Vascular Trauma
Abstract
Principles of Vascular Epidemiology
Context and Categorization of Vascular Trauma
Summary
References
3. Systems of Care in the Management of Vascular Injury
Abstract
Trauma Systems Overview
Key Components of a Trauma System
Trauma Center Function
Trauma Systems in Combat Casualty Care
Organization of the Joint Theater Trauma System
Challenges of Vascular Injury Care
Conclusion
References
4. Training Paradigms for Vascular Trauma
Abstract
Introduction
Graduate Medical Education
Ways Forward for Vascular Trauma Training
Summary
References
Section 2: Immediate Management and Diagnostic Approaches
5. Prehospital Management of Vascular Injury
Abstract
Introduction
Stopping the Bleeding
Replacing Lost Volume
References
6. Damage Control and Immediate Resuscitation for Vascular Trauma
Abstract
Introduction
Pathophysiology of Coagulopathy/Trauma-Induced Coagulopathy (TIC)
Emergency Department Reception
Ethics of Resuscitation
Future Development of DCR
Summary
References
7. Diagnosis of Vascular Injury
Abstract
Introduction
The Mechanism, Setting, and Patterns of Injury
Injury Pattern Recognition
Physical Examination
Clearing the Trauma Patient for the Presence of Vascular Injury
Definitive Diagnosis of Vascular Injury
Compartment Syndrome
Summary
References
8. Imaging for the Evaluation and Treatment of Vascular Trauma
Abstract
Background
Imaging Modalities
References
Section 3: Emerging Technologies and New Approaches to Vascular Trauma and Shock
9. Endovascular Suites and the Emergency Vascular Service
Abstract
Introduction
Endovascular Suites
Emergency Vascular Service
Conclusions
References
10. Stent-Grafts, Coils, and Plugs
Abstract
Introduction
Principles of Endovascular Hemorrhage Control
Embolization Agents
Stents-Grafts
Management of Solid Organ Injury
Pelvic Bleeding
Cervical Vascular Injury
Junctional Vascular Trauma
Extremity Vascular Trauma
References
11. Resuscitative Endovascular Balloon Occlusion of the Aorta
Abstract
Introduction
History of Thoracic Aortic Occlusion for Resuscitation
History of REBOA
Physiologic Limitations
Clinical Outcomes
Technical Aspects of REBOA
Treatment Algorithm
Extended Applications of REBOA
Complications of REBOA
Future Advances
References
12. Endovascular Variable Aortic Control
Abstract
Introduction
The Problems With REBOA
EVAC Concept—Automated Partial Aortic Flow Control
Future Directions
Disclosure
References
13. Selective Aortic Arch Perfusion
Abstract
Introduction
A Description of SAAP
The Rationale for SAAP
Rationale for Endovascular Resuscitation
Sequential SAAP Interventions
Advantages and Limitations of SAAP
Laboratory Animal SAAP Studies
Where Does SAAP Fit in Endovascular Resuscitation
Implications for Trauma and Vascular Surgery
Summary
References
14. Endovascular to Extracorporeal Organ Support for Vascular Trauma and Shock
Abstract
Introduction
Advances in Renal Support
Advances in Lung Support
Combining Techniques
Acknowledgments
References
15. Gathering the Evidence: Clinical Study of New Technologies
Abstract
Why This Chapter?
Medical Devices Are Not Parachutes
The Evaluation of Surgical Innovation
Methodological and Practical Challenges
The Role of Innovative Clinical Trial Designs
Conclusion
References
Section 4: The Management of Vascular Trauma
16. Cardiac, Great Vessel, and Pulmonary Injuries
Abstract
Introduction
Evaluation and Management in the Emergency Center
The Injured Heart
Injuries to the Great Vessels
Injuries to the Lungs
Thoracic Damage Control
References
17. Blunt Thoracic Aortic Injury
Abstract
Introduction
History
Epidemiology
Site and Type of Aortic Injury
Natural History of BTAI
Screening and Diagnosis
Management
Summary
References
18. Abdominal Aortic Trauma, Iliac and Visceral Vessel Injuries
Abstract
Introduction
Mechanism of Injury
Anatomy
Clinical Presentation
Investigations
Surgical Techniques
Aortic Injuries
Injuries to the Visceral Arteries
Injuries to the Iliac Artery
Surgical Management
Complications of Vascular Trauma
Endovascular Treatment of Intra-abdominal Trauma
References
19. Inferior Vena Cava, Portal, and Mesenteric Venous Systems
Abstract
Introduction
Preoperative Preparation
Operative Management
Endovascular Options
Pitfalls and Points
Conclusion
References
20. Neck and Thoracic Outlet
Abstract
Introduction
Indications
Preoperative Preparation
Pitfalls and Danger Points
Operative Strategy and Technique
Postoperative Care, Complications, and Outcomes
References
21. Upper Extremity and Junctional Zone Injuries
Abstract
Epidemiology of Upper Extremity Vascular Injury
Addressing Complex Upper Extremity Vascular Injury
Surgical Management for Upper Extremity Vascular Injury
Upper Extremity Venous Injury
Endovascular Management of Upper Extremity Vascular Injuries
Nonoperative Management in Upper Extremity Injury
Postoperative Care
Complications After Upper Extremity Vascular Injury
Outcomes after Treatment of Upper Extremity Vascular Injury
Conclusion
References
22. Lower Extremity Vascular Trauma
Abstract
Introduction and Scope
Injury Characteristics
Patient and Limb Outcomes
Concomitant and Isolated Vein Injury
Presentation, Diagnosis, and Workup
Technical Aspects of Vascular Reconstruction
References
23. Surgical Damage Control and Temporary Vascular Shunts
Abstract
Introduction
Historical Use of Intravascular Shunts
Modern Use of Intravascular Shunts
Indications
Shunt Materials
Insertion Technique
Dwell Time
Special Considerations
Conclusion
References
24. Considerations for Conduit Repair of Vascular Injury
Abstract
Introduction
Identification of the Optimal Vascular Conduit
Types of Conduit
Decision Making in the Choice of Conduit
Conduit in Austere and Military Settings
Future Considerations
Conclusion
References
25. Management of Pediatric Vascular Injury
Abstract
Introduction
Epidemiology
Anatomic and Physiologic Considerations
Diagnosis and Evaluation
Therapeutic Approach
Special Situations
Postinjury Surveillance and Outcomes
Future Directions
Conclusions
References
26. Soft-Tissue and Skeletal Wound Management in the Setting of Vascular Injury
Abstract
Introduction
Epidemiological Factors
Grading of Open Fractures
Salvage Versus Amputation
Strategies in Managing the Severely Injured Limb
Outcomes of Limb Salvage
Summary
References
Bibliography
27. Vascular Surgery in the Austere Environment
Abstract
Introduction
Fundamentals
Neck Injuries
Upper Limb Vascular Injuries
Abdominal Vascular Injuries
Resuscitative Thoracotomy
Lower Limb Vascular Injuries
Soft-Tissue Injury
Forequarter Amputation
Working in Austere Environments
References
Section 5: Global Perspectives on Vascular Trauma
28. Australia and New Zealand
Abstract
Region-Specific Epidemiology
Region-Specific Systems of Care
Surgical Training and Certification
Access to Care
Prehospital Care
Region-Specific Considerations for Diagnosis
Region-Specific Treatment Strategies
Strategies to Sustain and Train the Next Generation of Trauma Surgeons
References
29. Sri Lanka
Abstract
Introduction
Epidemiology of Wartime Injury
System of care
Considerations for Diagnosis
Treatment strategies
Sustaining and Training the Next Generation
Conclusion
References
30. Vascular Trauma in Finland
Abstract
Introduction
Finland as a Northern European Example in Trauma and Trauma Care
Vascular and Trauma Surgery
Vascular and Endovascular Trauma Surgery Training, Availability, and Challenges
Summary
References
31. Sweden
Abstract
Introduction
The Swedish Trauma System
The Swedish Trauma and Vascular Registries
Trauma in Sweden
Vascular Trauma in Sweden
New Developments in Vascular Trauma Management: the Concept of Endovascular Resuscitation and Trauma Management (EVTM)
Education in Vascular Trauma
Future Aspects
References
32. Russia
Abstract
Historical Background
Epidemiology
Specific Systems of Care
Specific Considerations for Diagnosis
Specific Treatment Strategies
Strategies to Sustain and Train the Next Generation of Trauma Surgeons
Conclusion
References
33. Serbia
Abstract
Introduction
Lesson 1: War Versus Civil Vascular Trauma
Lesson 2: Strategy During Management of Vascular Trauma
Lesson 3: Primary Bleeding Control
Lesson 4: Vascular Repair or Primary Amputation?
Lesson 5: Diagnosis
Lesson 6: Vascular Repair
Lesson 7: Venous Injury
Lesson 8: Complex Injuries
Lesson 9: Late Revascularization
Lesson 10: Early Complications After Vascular Repair
Lesson 11: Endovascular Repair of Injured Vessels
Lesson 12: Pediatric Vascular Trauma
Lesson 13: Long-Term Complications After Repair of Vascular Trauma
Conclusion
References
34. Israel
Abstract
References
35. South Africa
Abstract
Region-Specific Epidemiology
Region-Specific Systems of Care
Techniques of Care
Region-Specific Considerations for Diagnosis
Region-Specific Treatment Strategies
Strategies to Sustain and to Train the Next Generation of Trauma Surgeons
References
36. Colombia: Don’t Dread the Popliteal and Axillary Fossa
Abstract
Don’t Dread the Fossa: The Posterior Popliteal Artery Approach
Don’t Dread the Fossa: The Axillary Artery Approach
References
37. Brazil
Abstract
Introduction
Epidemiology
Evaluation and Diagnosis of Vascular Injury in Brazil
Vascular Injury Patterns and Treatment Strategies
Training the Next Generation of Trauma Surgeons
References
Index
Confidence is ClinicalKey

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Todd E. Rasmussen

Nigel R M Tai