Hand ischaemia after radial artery cannulation

Abstract

Arterial cannulation for haemodynamic monitoring has become a routine procedure in the clinical management of critically ill adults. Thrombosis is the most common complication of this procedure. We report the case of a patient with multiple traumatic injuries in which radial artery cannulation was associated with compartment syndrome of the forearm and hand.

Digital ischemia following radial arterial cannulation

“…This may explain the higher incidence in females and the preference for using narrow lumen catheters 2,3 . Other risk factors include low body mass index, advanced age, vascular disease, prolonged peri‐procedural hypo‐ and/or hypertension, vasopressor use, catheter composition, prolonged catheter placement, and excess trauma from multiple attempts at the same site 4,5 . It is possible that risk factors, such as low body mass index, advanced age, vascular disease, and female gender, may have contributed to the temporary occlusion in both patients outlined above.…”

Digital Ischaemia following Radial Arterial Cannulation

“…This may explain the higher incidence in females and the preference for using narrow lumen catheters (2,3). Other risk factors include low body mass index, advanced age, vascular disease, prolonged peri-procedural hypo-and/or hypertension, vasopressor use, catheter composition, prolonged catheter placement and excess trauma from multiple attempts at the same site (4,5). It is possible that risk factors, such as low body mass index, advanced age, vascular disease and female gender, may have contributed to the temporary occlusion in both patients outlined above.…”