Limb Salvage of the Diabetic Foot скачать в хорошем качестве

Limb Salvage of the Diabetic Foot

#DiabeticFoot #LimbSalvage #InterdisciplinaryCare #DiabeticUlcers #FootCare #DiabetesComplications #WoundHealing #AmputationPrevention #VascularSurgery #Podiatry This video excerpt provides a deep dive into the critical topic of diabetic foot care, specifically focusing on the book "Limb Salvage of the Diabetic Foot - An Interdisciplinary Approach" edited by Michael E. Edmonds and Bauer E. Simpio. It highlights the harsh reality that seemingly small foot issues in people with diabetes can escalate seriously, sometimes leading to amputation. The diabetic foot presents a unique and complex challenge due to the interplay of nerve damage (neuropathy), reduced blood flow (ischemia), and a constant risk of infection. Navigating this effectively demands a coordinated effort from specialists across different fields. The book embodies this need for collaboration and teamwork, structuring information logically from initial assessment, classification, and staging of conditions to delving into specific problems like neuropathy, ischemia, Charcot foot, and infection. It covers various management strategies, including conservative approaches, specialised wound care, surgical procedures, and advanced technologies. The editors' credentials in the field bring significant weight, likely drawing on experts from podiatry, vascular surgery, diabetes management, and infectious diseases. Key concepts discussed include classification systems like the WIFI (Wound, Ischemia, Foot Infection) system, which helps assess amputation risk by grading the severity of these three factors. The importance of assessing blood flow using physical exams, Doppler ultrasound, ABI, TBI, and TCPO2 is stressed, with a crucial caveat regarding vessel calcification in diabetes affecting ABI accuracy. Diabetic neuropathy, especially Distal Symmetric Polyneuropathy (DSPN), is identified as a major risk factor for ulcers and Charcot foot. The loss of protective sensation (LOPS), often detected by the monofilament test, is critical. Diabetic foot infections are often polymicrobial, can present subtly due to neuropathy, and require vigilant assessment, culture, and targeted antibiotic therapy. Chronic limb-threatening ischemia (CLTI) is a broader term encompassing severe blood flow issues that often require revascularization procedures like endovascular techniques or open surgical bypasses. The book strongly advocates for a dedicated interdisciplinary team approach, ideally in a specialised clinic, to ensure rapid diagnosis, appropriate treatment, and optimisation of the patient's overall health. Essential management strategies include aggressive offloading for neuropathic ulcers (like total contact casting), meticulous wound care, and surgical interventions for deformities or non-healing ulcers. Ultimately, the book is presented as a comprehensive, expert-led resource for clinicians across disciplines involved in this complex area, aiming to improve patient outcomes and strive for limb salvage. Thanks to @igorbesel4910 for suggesting this topic