Hand ischemia associated with profound hypotension and radial artery catheterization in a pediatric patient: a case report.
Direct arterial blood pressure monitoring via the radial artery is a relatively common method employed during the perioperative period. Complications attributed to radial artery catheterization are extremely rare but can include thrombosis, ischemia, infection, and aneurysm formation at the site of catheter insertion. This report describes an episode of hand ischemia in a pediatric patient. The patient experienced a brief period of hypotension secondary to blood loss. A pallor hand was noticed after the patient had been adequately resuscitated. Appropriate treatment was administered, and the patient was eventually discharged to home without any further complications.
English
Lorraine A
LA
Naval Hospital Okinawa, Japan.
Maye
John P
JP
Dalton-Link
Maureen T
MT
D000293:Adolescent; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D006225:Hand / Q000098:blood supply*; D006801:Humans; D007022:Hypotension / Q000150:complications*; D007511:Ischemia / Q000209:etiology*; D008297:Male; D009719:Nurse Anesthetists; D017534:Radial Artery