Nitroglicerina tópica en neonatos con lesiones isquémicas tras canalización de vasos

Hoyo, P. Vivar del; Ruiz, Prado Sánchez; Río, Mercedes Ludeña del; Oliva, Jesús Cecilio López-Menchero; Cabezas, Miguel Ángel García

doi:10.1016/j.anpedi.2016.01.024

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…In addition, nitric acid, which is not converted from glycerol, can inhibit platelet aggregation and adhesion and prevent thrombosis. Some scholars[ 20 ] believe that 2% nitroglycerin coating is associated with no bleeding risk, has significant advantages over anticoagulation therapy, and can be used alone to treat thrombosis caused by ischemic tissue damage. However, there is also literature to show that nitroglycerin coating can only be used for tissue damage during vasospasm[ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Arterial embolism caused by a peripherally inserted central catheter in a very premature infant: A case report and literature review

Huang

Wan

et al. 2020

WJCC

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BACKGROUND Extremely premature infants have poor vascular conditions. Operators often choose deep veins such as the femoral vein and axillary vein to peripherally insert central catheters, and these vessels are often accompanied by arteries; thus, it is easy to mistakenly enter the artery. CASE SUMMARY The case of an extremely premature infant (born at gestational age 28 +3 ) in whom the left upper extremity artery was accidentally entered during peripheral puncture of the central venous catheter is reported. On the 19 th day of hospitalization, the index finger, middle finger and ring finger of the left hand were rosy, the left radial artery and brachial artery pulse were palpable, the recovery was 95%, and the improvement was obvious. At discharge 42 d after admission, there was no abnormality in fingertip activity during the follow-up period. CONCLUSION Arterial embolization in preterm infants requires an individualized treatment strategy combined with local anticoagulation and 2% nitroglycerin ointment for local tissue damage caused by arterial embolism in the upper limb. Continuous visualization of disease changes using image visualization increases the likelihood of a good outcome.

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Section: Discussionmentioning

confidence: 99%

Arterial embolism caused by a peripherally inserted central catheter in a very premature infant: A case report and literature review

Huang

Wan

et al. 2020

WJCC

View full text Add to dashboard Cite

show abstract

“…Ischemic and tissue injuries due to placement of peripheral intravenous cannulation are rare complications that can result in neonatal morbidities 1 . In the event of inadvertent arterial cannulation, early removal of the catheter, elevation of the affected limb, and initiation of vasodilator therapy may restore the vascular perfusion and reduce the likelihood of the development of distal ischemia and gangrene 1,2 . We report a successful use of nitroglycerin spray in an extremely preterm infant with ischemic hand changes due to inadvertent brachial artery injury following intravenous cannulation.…”

Section: Figmentioning

confidence: 99%

“…There have been a few case reports of neonates with significant digital ischemia, necrosis and even gangrene due to accidental arterial cannulation following intravenous cannulation 1–3 . Preterm infants have a greater risk of ischemic changes as their blood vessels are more fragile and susceptible to vasospasm and thrombosis 1,3 .…”

Section: Figmentioning

confidence: 99%