Capillary measurement of lactate and glucose for free flap monitoring.
Fiche publication
Date publication
février 2014
Auteurs
Membres identifiés du Cancéropôle Est :
Pr ZWETYENGA Narcisse
Tous les auteurs :
Henault B, Pluvy I, Pauchot J, Sinna R, Labruere-Chazal C, Zwetyenga N
Lien Pubmed
Résumé
BACKGROUND: It is reported that the salvage rate of free flaps is inversely related to the time interval between the onset of pedicle impairments and their clinical recognition. Monitoring of free flaps is therefore of major importance and clinical monitoring remains the most used technique because of lack of low-cost and non-invasive techniques. The authors suggested an efficient, simple and cheap technique to detect early thrombotic events in monitoring free flaps with skin paddle. METHODS: In this multicentre prospective study, measurements of capillary glucose and lactate in the flaps were done. These parameters were compared to standardized clinical monitoring during the first five days. Two sets of data (eventful versus uneventful postoperative period) were analyzed to define the thresholds of lactate and glucose values for diagnosis of pedicle complications, and to establish parameters for this screening test. RESULTS: Over a period of 19 months, 37 patients were included. With 5 pedicle impairments, complication thresholds were defined as lactate >/= 6.4 mmol L(-1) and glucose
Référence
Ann Chir Plast Esthet. 2014 Feb;59(1):15-21