Document Detail


Osmotic complications of low-molecular-weight dextran therapy in free flap surgery.
MedLine Citation:
PMID:  1375307     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Low-molecular-weight dextran is utilized by many microsurgeons after free tissue transfer for its beneficial effects on the microcirculation. While it is generally felt to have a low rate of complications, severe complications secondary to dextran's osmotic effects may occur. We report here on two cases in which therapy with low-molecular-weight dextran was strongly implicated as a causative factor in major complications. These cases and their background are reviewed. Guidelines for the safe administration of this agent in patients post free-tissue transfer are discussed.
Authors:
C K Hardin; W C Kirk; W C Pederson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Microsurgery     Volume:  13     ISSN:  0738-1085     ISO Abbreviation:  Microsurgery     Publication Date:  1992  
Date Detail:
Created Date:  1992-06-25     Completed Date:  1992-06-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8309230     Medline TA:  Microsurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  36-8     Citation Subset:  IM    
Affiliation:
Division of Plastic Surgery, Wilford Hall U.S.A.F. Medical Center, Lackland Air Force Base, San Antonio, Texas.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Dextrans / administration & dosage,  adverse effects*
Female
Foot / surgery*
Humans
Hyperkalemia / chemically induced
Kidney Failure, Acute / chemically induced
Male
Middle Aged
Molecular Weight
Muscles / transplantation*
Osmosis
Pseudotumor Cerebri / chemically induced
Surgical Flaps* / methods
Chemical
Reg. No./Substance:
9004-54-0/Dextrans

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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