![](/images/graphics-bg.png)
Topical Nitroglycerine for Neonatal Arterial Associated Peripheral Ischemia following Cannulation : A Case Report and Comprehensive Literature Review
Joint Authors
Mosalli, Rafat
Elbaz, Mohamed
Paes, Bosco
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-10-23
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Arterial cannulation in neonates is usually performed for frequent blood pressure monitoring and blood sampling.
The procedure, while easily executed by skilled neonatal staff, can be associated with serious complications such as vasospasm, thrombosis, embolism, hematoma, infection, peripheral nerve damage, ischemia, and tissue necrosis.
Several treatment options are available to reverse vascular induced ischemia and tissue damage.
Applied interventions depend on the extent of tissue involvement and whether the condition is progressive and deemed life threatening.
Standard, noninvasive measures include immediate catheter removal, limb elevation, and warming the contralateral extremity.
Topical vasodilators, anticoagulation, thrombolysis, and surgery are considered secondary therapeutic strategies.
A comprehensive literature search indicates that topical nitroglycerin has been utilized for the treatment of tissue ischemia in three preterms with umbilical arterial catheters and four with peripheral arterial lines.
We report the first successful use of nitroglycerine ointment in a critically ill preterm infant with ischemic hand changes after brachial artery cannulation.
American Psychological Association (APA)
Mosalli, Rafat& Elbaz, Mohamed& Paes, Bosco. 2013. Topical Nitroglycerine for Neonatal Arterial Associated Peripheral Ischemia following Cannulation : A Case Report and Comprehensive Literature Review. Case Reports in Pediatrics،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-484755
Modern Language Association (MLA)
Mosalli, Rafat…[et al.]. Topical Nitroglycerine for Neonatal Arterial Associated Peripheral Ischemia following Cannulation : A Case Report and Comprehensive Literature Review. Case Reports in Pediatrics No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-484755
American Medical Association (AMA)
Mosalli, Rafat& Elbaz, Mohamed& Paes, Bosco. Topical Nitroglycerine for Neonatal Arterial Associated Peripheral Ischemia following Cannulation : A Case Report and Comprehensive Literature Review. Case Reports in Pediatrics. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-484755
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-484755