Peripheral blockade as treatment of arm ischaemia at birth

Carolis, Maria Pia De; Bersani, Iliana; Frassanito, Luciano; Fusco, Francesca Paola; Carolis, Sara De; Romagnoli, Costantino

doi:10.1007/s00431-010-1182-y

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…Other situations where autonomic blockade may be beneficial include vasodilation of ischemic or compromised limbs (106–111) after arterial line (110,111) or umbilical arterial catheter misadventure (112) or penile ischemia (113). Painless placement of percutaneously inserted central catheters (PICC lines) can also be facilitated with an axillary block or femoral nerve block that will both dilate the veins and immobilize the limb (36,37).…”

Section: Outside the Operating Roommentioning

confidence: 99%

Benefits of regional anesthesia in children

Bösenberg

2011

Pediatric Anesthesia

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Section: Outside the Operating Roommentioning

confidence: 99%

Benefits of regional anesthesia in children

Bösenberg

2011

Pediatric Anesthesia

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“…It has been reported that continuous brachial plexus block can provide therapeutic distal limb perfusion after the hand reconstruction surgery 14 or neonatal limb ischemia. 15 Therefore sympathetic blockade may be used as an alternative therapy in ICU for patients who require limb salvage after hand transplantation, complicated limb surgery, or traumatic injury.…”

Section: Regional Anesthesiamentioning

confidence: 99%

Analgesic Management of Chronic Pain Patients in the ICU

2013

ICU Director

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Management of chronic pain patients presents a unique challenge to critical care providers. These patients may have significant opioid tolerance and exhibit signs of opioid-induced hyperalgesia. Mechanical ventilation, hemodynamic instability and cognitive impairment further complicate the accurate assessment of pain and efficacy of treatment. This review will examine core topics such as management of opioid-tolerant patients, drug interactions, and implantable therapies that pose problems to critical care providers.

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“…In the first neonate (27 weeks of gestation), axillary nerve blockade of the brachial plexus was helpful to solve the persistent (>45 minutes) and severe arm ischemia secondary to external compression during labor. 19 The second neonate, born of twin pregnancy at 31 weeks of gestation, presented pale, cold, and pulseless left leg immediately after birth (Figure 1). Oxygen saturation was not detectable at the affected limb until 25 minutes of life, when PNB was performed.…”

Section: Mechanism Of Action Of Pnb In the Treatment Of LImentioning

confidence: 99%

Peripheral Nerve Blockade and Neonatal Limb Ischemia

Carolis

Bersani

Piersigilli

et al. 2012

Clin Appl Thromb Hemost

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Considering the high frequency of bleeding complications following fibrinolytic treatment in neonates, peripheral nerve blockade (PNB) has been proposed alone or in association with lower doses of tissue plasminogen activator, as a possible new therapeutic approach in the management of neonatal limb ischemia (LI) secondary to vasospasm and/or thrombosis. The present article provides a review of the current knowledge about the topic, in order to evaluate the efficacy and safety of this therapeutic approach. According to the few case reports documented in literature and to our experience, PNB could be considered as valid procedure for the treatment of LI, especially during neonatal period, when the risk of serious bleeding associated with fibrinolytic or anticoagulant therapy is higher. Peripheral nerve blockade resulted in a safe and effective procedure for the treatment of neonatal vascular spasm and thrombosis.

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Peripheral blockade as treatment of arm ischaemia at birth

Abstract: Peripheral nerve blockade resulted in an effective and safe therapeutic approach able to allow the salvaging of the limbs.

Cited by 5 publications

References 10 publications

Benefits of regional anesthesia in children

Benefits of regional anesthesia in children

Analgesic Management of Chronic Pain Patients in the ICU

Peripheral Nerve Blockade and Neonatal Limb Ischemia

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