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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Breschan, C; Kraschl, R; Jost, R; Marhofer, P; Likar, R.
Axillary brachial plexus block for treatment of severe forearm ischemia after arterial cannulation in an extremely low birth-weight infant.
Paediatr Anaesth. 2004; 14(8):681-4
Doi: 10.1111/j.1460-9592.2004.01282.x
(- Case Report)
Web of Science
PubMed
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- Leading authors Med Uni Graz
- Breschan Christian
- Co-authors Med Uni Graz
- Likar Rudolf
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- Abstract:
- Severe limb ischemia after arterial catheterization in neonates and premature infants is a well-recognized problem. The usual treatment of ischemic injuries includes removal of the catheter and elevation of the effected limb. If unsuccessful, tissue necrosis and loss may follow. We report the case of a 700 g infant with severe distal forearm ischemia after right radial and ulnar artery catheterization. Immediate removal of the arterial line did not improve ischemia. Thirty-six hours later a brachial plexus block via the axillary approach with 0.5 ml bupivacaine 0.125% was performed resulting in rapid improvement, restricting ischemia eventually to fingers II-V as well as the distal part of the thumb. Brachial plexus blockade and active vasodilatation in tiny neonates after severe local ischemia are discussed.
- Find related publications in this database (using NLM MeSH Indexing)
- Amputation - administration & dosage
- Anesthetics, Local - therapeutic use
- Brachial Plexus - administration & dosage
- Bupivacaine - therapeutic use
- Catheterization, Peripheral - adverse effects
- Fingers - pathology, surgery
- Forearm - blood supply
- Humans - administration & dosage
- Infant, Newborn - administration & dosage
- Infant, Very Low Birth Weight - administration & dosage
- Ischemia - etiology, therapy
- Male - administration & dosage
- Necrosis - administration & dosage
- Nerve Block - methods
- Severity of Illness Index - administration & dosage
- Find related publications in this database (Keywords)
- limb ischemia
- arterial cannulation
- axillary plexus block
- extremely low birth-weight infant