INCIDENCE OF FOREARM AND HAND ISCHEMIA RELATED TO RADIAL ARTERY CANNULATION IN NEWBORN-INFANTS
INCIDENCE OF FOREARM AND HAND ISCHEMIA RELATED TO RADIAL ARTERY CANNULATION IN NEWBORN-INFANTS
复制标题
DOI：
10.1007/bf01706325
复制
发表时间：
1990-01-01
影响因子：
38.9
通讯作者：
OKKEN, A
中科院分区：
文献类型：
--
作者：
HACK, WWM;VOS, A;OKKEN, A
我们报告了98例新生儿由放射动脉插管引起的一过性和永久性前臂和手部缺血的发生率。出生体重550至3920克(中位数1600克)，孕龄26至40周(中位数31周)。98例婴儿中有4例发生一过性前臂和/或手部缺血。在三名婴儿中，缺血的发生可能与血栓栓子事件有关，在一名婴儿中，可能与手掌侧支循环不足有关。所有婴儿均未发生永久性缺血损伤并伴有组织丢失。结论：由于桡动脉插管导致的前臂和/或手部永久性缺血损伤和/或组织丢失，在新生儿中很少发生。为了最大限度地减少缺血的风险，在插管前仔细评估手掌侧支循环以及所有易导致缺血发作的因素是必不可少的。在出现缺血的最早迹象时立即拔除导管，对于防止随后的组织丢失是至关重要的。
We report the incidence of transient and permanent ischaemia of the forearm and hand caused by radial artery cannulation in a series of 98 newborn infants. Birth weight ranged from 550 to 3920 g (median 1600 g) and gestationed age ranged from 26 to 40 weeks (median 31 weeks). In 4 of the 98 infants transient ischaemia of the forearm and/or hand occurred. In three infants the onset of ischaemia was probably related to thrombo-embolic events and in one infant to inadequate palmar collateral circulation. Permanent ischaemic damage with tissue loss did not occur in any infant. It is concluded that permanent ischaemic damage to the forearm and/or the hand with tissue loss, attributable to radial artery cannulation, is seldom encountered in newborn infants. In minimizing the risk of ischaemia, careful assessment of palmar collateral circulation prior to cannulation and of all factors predisposing to the onset of ischaemia is essential. Immediate removal of the catheter at the earliest signs of ischaemia, is essential to prevent ensuing tissue loss.