P Trabulsy | PubMed Health

PubMed1994

Sensory reinnervation of muscle free flaps for foot reconstruction.

A retrospective study was performed to measure sensibility in sensory-to-motor innervated microvascular muscle transplants to the foot. Seven transplants were on the weight-bearing surface of the foot. Five of seven flaps had light-touch sensation. Mean vibrometer readings of the innervated transplants were 15.7 (range: 5 to 40) vs. 5.3 (range 2 to 9) on the contralateral foot. Semmes-Weinstein scores of the innervated flaps were 3.84 (one), 4.74 (one), 5.46 (two), and 6.45 (three) vs. 3.22 (one), 3.84 (one), 4.08 (one), and 4.17 (four) on the contralateral foot. This study documents that sensory-to-motor innervated free muscle flaps may regain measurable sensibility.

Adult↗

PubMed1992

A true aneurysm of a collateral branch of a proper digital artery.

An idiopathic true aneurysm of a collateral branch of the proper radial digital artery of the index finger was treated by ligation and resection. The proper digital artery remained in continuity without interruption, and the patient's symptoms were relieved.

Adult↗

PubMed1989

Zero-time prehospital i.v.

Advances in prehospital stabilization and resuscitation of traumatized victims continue to have an impact on morbidity and mortality. Certain aspects of Advanced Trauma Life Support still remain controversial. Recent reports have questioned the usefulness of IV's started in the prehospital phase both because of delay in transport and because of the actual or theoretical lack of adequate volume infusion during transport. If IV lines can be started while an accident victim is en route to the hospital with no delay in transport, then much of the argument against prehospital IV's becomes irrelevant. From October 1985 through November 1986 we prospectively studied IV access attempts in 350 consecutive patients. Overall IV's started at the scene were 77% successful (n = 70) and en route 81% (n = 213) of attempts were successful. Of those with BP less than 100 mm Hg, there were 66% successful on-scene attempts and 72% successful en-route attempts. Protocols for IV administration in non-trapped patients should initiate IV access only en route to the hospital while the ambulance is moving. Even if delay at the scene is minimal, it is not possible to justify any delay, since IV's can be successfully instituted en route.

Emergency Medical Services↗