Managing vascular compromise of hand and digit replantation following traumatic amputation
Nursing review published in Br J Nurs (2018)
Abstract
Hands are anatomically complex and have great social, physical and emotional importance. Hand or digit replantation following traumatic partial or complete amputation is a complex injury for nursing staff to understand and manage. The absence of clear guidance, combined with a lack of consensus in the literature gives rise to ambiguity and insufficient understanding of appropriate and effective management. This article aims to outline nursing care of the patient in the first few days following hand or digit reattachment, particularly focusing on the recognition and management of arterial and venous compromise. Complications must be recognised and acted on quickly to give the best chance of survival so it is essential for nurses to have an accurate understanding of the signs, symptoms and management options of vascular compromise. Leech therapy, also discussed, has long been used as a nonsurgical option in the management of venous congestion and is a simple and minimally invasive method of managing congestion.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
Nursing-focused review of vascular compromise recognition and management in hand/digit replantation, including MLT as a minimally invasive option for venous congestion.
Por qué esto importa para la hirudoterapia
Este artículo describe los cuidados de enfermería en el período postoperatorio temprano tras el reimplante de mano o dedo, centrándose en el reconocimiento y manejo del compromiso arterial y venoso, y menciona la terapia con sanguijuelas como una opción no quirúrgica mínimamente invasiva, sencilla y de larga data para el manejo de la congestión venosa. El artículo es relevante para el dominio de ASH en la medida en que aborda la terapia con sanguijuelas dentro del contexto de los cuidados post-reimplante. Sin embargo, la terapia con sanguijuelas solo se menciona brevemente como una de varias opciones de manejo, el enfoque principal del artículo es el manejo enfermero del compromiso vascular de forma amplia, y no se proporcionan datos detallados sobre los desenlaces, protocolos o complicaciones de la terapia con sanguijuelas.
Citación
Managing vascular compromise of hand and digit replantation following traumatic amputation.
Spiers E · British journal of nursing (Mark Allen Publishing), 2018
Contexto clínico relacionado
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Añadido a la biblioteca ASH: May 26, 2026 · Última actualización del sitio: 18 de junio de 2026