Neonatal Med.  2017 Nov;24(4):197-201. 10.5385/nm.2017.24.4.197.

Successful Management of Severe Peripheral Tissue Ischemia after Arterial Catheterization in Micro Preemies using Humidification & Topical Nitroglycerin

Affiliations
  • 1Department of Pediatrics, Kangnam Sacred Heart Hospital, Hallym University Medical Center, Seoul, Korea. jiyoung2010@hallym.or.kr

Abstract

Micro preemies usually undergo arterial catheterization for frequent blood pressure monitoring and blood sampling. Peripheral tissue injury associated arterial catheterization is a well-described morbidity observed in neonates. Despite the potential permanent disability associated with this complication, the currently available therapeutic options remain limited. We report a unique case of a preterm infant who developed severe tissue ischemia after arterial catheterization of the radial artery and was successfully treated using extensive humidification and topical nitroglycerin ointment application over an extended period (36 days) until complete clinical recovery.

Keyword

Catheterization; Humidity; Ischemia; Premature infants; Nitroglycerin

MeSH Terms

Blood Pressure Monitors
Catheterization*
Catheters*
Humans
Humidity
Infant, Newborn
Infant, Premature
Ischemia*
Nitroglycerin*
Radial Artery
Nitroglycerin
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