Atypical picture of peripheral arterial access in a neonate
Arterial line placement in the pediatric population is a challenging task. Even with the help of ultrasound, multiple attempts may be required for its successful placement. Even in the expert hands, complications such as thrombosis and distal gangrene have been encountered in the past. In recent tim...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Bali Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2020;volume=4;issue=4;spage=198;epage=199;aulast=Sharma |
| _version_ | 1829484045321371648 |
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| author | Ravi Shankar Sharma Narayanan Balakrishnan Narendra Kaloria Manoj Kamal Suyashi |
| author_facet | Ravi Shankar Sharma Narayanan Balakrishnan Narendra Kaloria Manoj Kamal Suyashi |
| author_sort | Ravi Shankar Sharma |
| collection | DOAJ |
| description | Arterial line placement in the pediatric population is a challenging task. Even with the help of ultrasound, multiple attempts may be required for its successful placement. Even in the expert hands, complications such as thrombosis and distal gangrene have been encountered in the past. In recent times, Doppler's ultrasound assistance has reduced the number of attempts required for its successful placement, thereby reducing the unforeseen complications. Sometimes, pediatric arterial line placement can produce a picture like extravasations of injectate into subcutaneous tissue. Hence, one must confirm the position of arterial line with blood pressure tracing and arterial blood gas analysis before removal of the placed cannula in order to avoid unnecessary pricks. We present a case of an atypical picture of a radial artery cannulation in a neonate, which may have led to unnecessary repeated arterial puncture. |
| first_indexed | 2024-12-14T22:19:35Z |
| format | Article |
| id | doaj.art-339bcf28036841fcadad254df8c4f83f |
| institution | Directory Open Access Journal |
| issn | 2549-2276 |
| language | English |
| last_indexed | 2024-12-14T22:19:35Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Bali Journal of Anesthesiology |
| spelling | doaj.art-339bcf28036841fcadad254df8c4f83f2022-12-21T22:45:32ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762020-01-014419819910.4103/BJOA.BJOA_103_20Atypical picture of peripheral arterial access in a neonateRavi Shankar SharmaNarayanan BalakrishnanNarendra KaloriaManoj KamalSuyashiArterial line placement in the pediatric population is a challenging task. Even with the help of ultrasound, multiple attempts may be required for its successful placement. Even in the expert hands, complications such as thrombosis and distal gangrene have been encountered in the past. In recent times, Doppler's ultrasound assistance has reduced the number of attempts required for its successful placement, thereby reducing the unforeseen complications. Sometimes, pediatric arterial line placement can produce a picture like extravasations of injectate into subcutaneous tissue. Hence, one must confirm the position of arterial line with blood pressure tracing and arterial blood gas analysis before removal of the placed cannula in order to avoid unnecessary pricks. We present a case of an atypical picture of a radial artery cannulation in a neonate, which may have led to unnecessary repeated arterial puncture.http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2020;volume=4;issue=4;spage=198;epage=199;aulast=Sharmaaarterial blood gasarterial linedopplerpediatricradial artery cannulation |
| spellingShingle | Ravi Shankar Sharma Narayanan Balakrishnan Narendra Kaloria Manoj Kamal Suyashi Atypical picture of peripheral arterial access in a neonate Bali Journal of Anesthesiology aarterial blood gas arterial line doppler pediatric radial artery cannulation |
| title | Atypical picture of peripheral arterial access in a neonate |
| title_full | Atypical picture of peripheral arterial access in a neonate |
| title_fullStr | Atypical picture of peripheral arterial access in a neonate |
| title_full_unstemmed | Atypical picture of peripheral arterial access in a neonate |
| title_short | Atypical picture of peripheral arterial access in a neonate |
| title_sort | atypical picture of peripheral arterial access in a neonate |
| topic | aarterial blood gas arterial line doppler pediatric radial artery cannulation |
| url | http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2020;volume=4;issue=4;spage=198;epage=199;aulast=Sharma |
| work_keys_str_mv | AT ravishankarsharma atypicalpictureofperipheralarterialaccessinaneonate AT narayananbalakrishnan atypicalpictureofperipheralarterialaccessinaneonate AT narendrakaloria atypicalpictureofperipheralarterialaccessinaneonate AT manojkamal atypicalpictureofperipheralarterialaccessinaneonate AT suyashi atypicalpictureofperipheralarterialaccessinaneonate |