Replantation Perioperative care of patients.doc

 PAGE \* MERGEFORMAT 7 Replantation Perioperative care of patients [Keywords:] replantation, intraoperative care, postoperative care, functional training Replantation is completely amputated finger replantation in situ under the microscope, anastomotic vein and artery, nerve and tendon flexion refers to the complete reduction and internal fixation. Summarize our department 16 cases of replantation 2001-2008 observed in patients with the results of replantation of Perioperative care of several problems. 1 Clinical data Observed 16 cases of surgical patients, 13 males and 3 females, aged 24 to 46 years old, 5 with local anesthesia, and the remaining use of brachial plexus anesthesia, anesthesia exactly 1 case occurred in the postoperative day 4 fingers pale skin temperature decreased, pulp collapse, no blood flow after acupuncture, carry out cross-sectional mean, stump trimming operation. Application of the preservation of amputated finger 2 Plastic bag, placed in ice or ice packs out, so save the time extended to 12 ~ 18h. However, the above cases, none do so. Fortunately, the surgery time in 5h, only 1 case of severe injury finger rolling not survived. All the patients were severed finger in a very sudden occurrence of the situation under. a work injury, damage or knifed sharp injuries and so on. amputated patients were brought without any treatment, only toilet paper wrapped . most of the finger on the only toilet paper stuck, there are putty, iron, wood and so on. Some individual patients with sterile gauze wrapped, it is a mine production disruptions that finger pollution. Seen in this light, disinfection with a doctor finger is a very important step. 3 Intraoperative Care 3.1 refers to the treatment interruption technique using normal saline flush finger first, then scrub with soap and water finger, hydrogen peroxide rinse, then rinse with isotonic saline, 0.1% benzalkonium bromide solution soak 1min, with iodophor disinfection. With