Actualización en diagnóstico y tratamiento de la isquemia aguda en extremidades

A systematic review of the medical literature was performed for relevant studies. We searched a number of electronic databases and hand-searched relevant journals since January 2002 until November 2007. We considered studies in which diagnosis and treatment were evaluated to diminish the morbimortality. Isquemia acute of the extremity is defined as any abrupt diminution of the perfusion that causes a possible threat to the viability of the same one. Isquemia acute of continuous inferior extremity associated to a high morbidity and mortality in spite of the advances in the perioperatorios cares and the techniques of revascularizacion. In special the age patients outpost they are exposed to a high risk of local serious complications as as much sistemicas. The comorbidity, the metabolic upheavals associated to isquemia acute and the syndrome of reperfusion are associate to this poor prognosis. In this article we set out an update in the handling of this type of patients presenting/ displaying new features in diagnosis and treatment. For it we have made a revision of Literature published in the last 5 years having centered in the works that contribute to new tools in diagnosis and treatment to us to reduce the high morbidity and mortality who present/display this type of patients