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    The importance of detecting lower limb ischaemia

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    Publication date
    2016
    Author
    Vowden, Kath
    Vowden, Peter
    Keyword
    Iscaemia; Wounds; Assessment
    Peer-Reviewed
    No
    
    Metadata
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    Abstract
    Lower-limb ischaemia is a frequently unrecognised consequence of arterial disease. It not only compromises wound healing, but is a harbinger of more generalised cardiovascular disease. Detection and appropriate management will not only improve wound healing, but also reduce patient morbidity and mortality by allowing proactive risk modification. Ischaemia is an important factor in skin vulnerability and a major cause of delayed wound healing. Recognition of ischaemia is, therefore, important if wound prevention strategies are to be effective and wound healing optimised. The detection of ischaemia can, however, be difficult and requires a careful evaluation of patient symptoms and clinical signs [Box 1]. It is also important to carry out a detailed physical examination, often supported by investigations, such as Doppler examination of peripheral pulses, ankle blood pressure measurements and the calculation of the ankle brachial pressure index (ABPI).
    URI
    http://hdl.handle.net/10454/14723
    Version
    No full-text in the repository
    Citation
    Vowden K and Vowden P (2016) The importance of detecting lower limb ischaemia. Wounds International. 7(4): 6-9.
    Link to publisher’s version
    http://www.woundsinternational.com/journal-content/view/the-importance-of-detecting-lower-limb-ischaemia
    Type
    Article
    Collections
    Health Studies Publications

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