Diabetic foot other diagnostic studies: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Diabetic foot}} | {{Diabetic foot}} | ||
{{CMG}} | {{CMG}} {{AE}}{{Anahita}} | ||
==Overview== | ==Overview== | ||
Transcutaneous [[oxygen]] [[pressure]] (TcPO2) measurements can provide data on the [[perfusion]] of the involved [[Limb (anatomy)|limb]], although its accuracy is not totally accepted in presence of severe [[ischemia]] and [[edema]]. Transcutaneous [[oxygen]] [[pressure]] (TcPO2) that measures less than 30 mmHg represents the necessity of a complete [[treatment]], due to very low chance of a spontaneous [[wound healing]]. On the other hand, measures more than 40 mmHg predict an acceptable chance of a spontaneous [[wound healing]]. | |||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
===Transcutaneous Oxygen Pressure Measurement=== | |||
*Transcutaneous [[oxygen]] [[pressure]] (TcPO2) measurements can provide data on the [[perfusion]] of the involved [[Limb (anatomy)|limb]], although its accuracy is not totally accepted in presence of severe [[ischemia]] and [[edema]].<ref name="LepäntaloApelqvist2011">{{cite journal|last1=Lepäntalo|first1=M.|last2=Apelqvist|first2=J.|last3=Setacci|first3=C.|last4=Ricco|first4=J.-B.|last5=de Donato|first5=G.|last6=Becker|first6=F.|last7=Robert-Ebadi|first7=H.|last8=Cao|first8=P.|last9=Eckstein|first9=H.H.|last10=De Rango|first10=P.|last11=Diehm|first11=N.|last12=Schmidli|first12=J.|last13=Teraa|first13=M.|last14=Moll|first14=F.L.|last15=Dick|first15=F.|last16=Davies|first16=A.H.|title=Chapter V: Diabetic Foot|journal=European Journal of Vascular and Endovascular Surgery|volume=42|year=2011|pages=S60–S74|issn=10785884|doi=10.1016/S1078-5884(11)60012-9}}</ref><ref name="pmid17296318">{{cite journal| author=Faglia E, Clerici G, Caminiti M, Quarantiello A, Curci V, Morabito A| title=Predictive values of transcutaneous oxygen tension for above-the-ankle amputation in diabetic patients with critical limb ischemia. | journal=Eur J Vasc Endovasc Surg | year= 2007 | volume= 33 | issue= 6 | pages= 731-6 | pmid=17296318 | doi=10.1016/j.ejvs.2006.12.027 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17296318 }} </ref><ref name="pmid8598670">{{cite journal| author=Padberg FT, Back TL, Thompson PN, Hobson RW| title=Transcutaneous oxygen (TcPO2) estimates probability of healing in the ischemic extremity. | journal=J Surg Res | year= 1996 | volume= 60 | issue= 2 | pages= 365-9 | pmid=8598670 | doi=10.1006/jsre.1996.0059 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8598670 }} </ref> | |||
*Transcutaneous [[oxygen]] [[pressure]] (TcPO2) measuring less than 30 mmHg represents the necessity of a complete [[treatment]], due to very low chance of a spontaneous [[wound healing]]. | |||
*Transcutaneous [[oxygen]] [[pressure]] (TcPO2) measuring higher than 40 mmHg is indicative of a spontaneous [[wound healing]] and [[treatment|conservative treatment]] is recommended, solely due to high rate of spontaneous [[wound healing]] in these [[patients]] (more than 90%). | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Endocrinology]] | [[Category:Endocrinology]] | ||
[[Category: | [[Category:Up to Date]] | ||
Latest revision as of 20:11, 17 September 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Transcutaneous oxygen pressure (TcPO2) measurements can provide data on the perfusion of the involved limb, although its accuracy is not totally accepted in presence of severe ischemia and edema. Transcutaneous oxygen pressure (TcPO2) that measures less than 30 mmHg represents the necessity of a complete treatment, due to very low chance of a spontaneous wound healing. On the other hand, measures more than 40 mmHg predict an acceptable chance of a spontaneous wound healing.
Other Diagnostic Studies
Transcutaneous Oxygen Pressure Measurement
- Transcutaneous oxygen pressure (TcPO2) measurements can provide data on the perfusion of the involved limb, although its accuracy is not totally accepted in presence of severe ischemia and edema.[1][2][3]
- Transcutaneous oxygen pressure (TcPO2) measuring less than 30 mmHg represents the necessity of a complete treatment, due to very low chance of a spontaneous wound healing.
- Transcutaneous oxygen pressure (TcPO2) measuring higher than 40 mmHg is indicative of a spontaneous wound healing and conservative treatment is recommended, solely due to high rate of spontaneous wound healing in these patients (more than 90%).
References
- ↑ Lepäntalo, M.; Apelqvist, J.; Setacci, C.; Ricco, J.-B.; de Donato, G.; Becker, F.; Robert-Ebadi, H.; Cao, P.; Eckstein, H.H.; De Rango, P.; Diehm, N.; Schmidli, J.; Teraa, M.; Moll, F.L.; Dick, F.; Davies, A.H. (2011). "Chapter V: Diabetic Foot". European Journal of Vascular and Endovascular Surgery. 42: S60–S74. doi:10.1016/S1078-5884(11)60012-9. ISSN 1078-5884.
- ↑ Faglia E, Clerici G, Caminiti M, Quarantiello A, Curci V, Morabito A (2007). "Predictive values of transcutaneous oxygen tension for above-the-ankle amputation in diabetic patients with critical limb ischemia". Eur J Vasc Endovasc Surg. 33 (6): 731–6. doi:10.1016/j.ejvs.2006.12.027. PMID 17296318.
- ↑ Padberg FT, Back TL, Thompson PN, Hobson RW (1996). "Transcutaneous oxygen (TcPO2) estimates probability of healing in the ischemic extremity". J Surg Res. 60 (2): 365–9. doi:10.1006/jsre.1996.0059. PMID 8598670.