Buy this Article for $5.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.

Keywords

gangrene, ischemic rest pain, ischemic ulcers, Levophed, norepinephrine, toe necrosis, transmetatarsal amputation

 

Authors

  1. Simman, Richard MD, FACS, FACCWS
  2. Phavixay, Laemthong DPM

Abstract

ABSTRACT: Acute limb ischemia may manifest by ischemic rest pain, ischemic ulcers, or gangrene. Acute arterial occlusion can be the result of emboli from a distant source, acute thrombosis of a previously patent artery, or direct trauma to an artery. Toe necrosis resulting from norepinephrine bitartrate (Levophed; Hospira Inc, Lake Forest, Illinois) is a rare case.