Resolution of peripheral artery catheter-induced ischemic injury in infants -Two case reports-

Park, Sung Yong; Kim, Dae–Hee; Kim, Kye Sook; Hong, You Sun; Hong, Yong Woo

doi:10.4097/kjae.2010.59.2.127

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…Regarding papaverine, I5 is hesitant to its usage due to lack of experience as it is currently not used in obstetrical or neonatal Dutch clinics. Researchers working on peripheral arterial lines stated that papaverine could be effective to reduce vasospasm, but it should be used with caution in premature infants because of increased intracranial hemorrhages risks [ 37 ]. In all lamb experiments papaverine was given intravenous or topical [ 7 , 25 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…No other medicaments were used to oppose vasospasm, such as lidocaine or nitroglycerine. Evidence of lidocaine’s effect on vasospasm is contradictory and may therefore not be used in lamb experiments [ 37 ]. In addition, nitroglycerine was discussed as vasodilator, but this has not been mentioned in lamb experiments [ 38 , 39 ] and little experience was present within the experts [F1].…”

Section: Discussionmentioning

confidence: 99%

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Clinical aspects of umbilical cord cannulation during transfer from the uterus to a liquid-based perinatal life support system for extremely premature infants a qualitative generic study

Verrips,

van Haren,

Oei

et al. 2023

PLoS ONE

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A liquid-based perinatal life support system (PLS) for extremely premature infants (born before 28 week of gestational age) envisions a connection between the infant’s native umbilical cord and an artificial placenta system through cannulation. This system mimics a natural mothers’ womb to achieve better organ maturations. The objective of this study is to gain insight into the clinical focus points of umbilical cord cannulation and how cannulation should be addressed in extremely premature infants during the transfer from the uterus to an in-utero simulating liquid-based PLS system. We performed an explorative qualitative study. Twelve medical specialists with knowledge of vessel cannulation participated. We collected data through twelve interviews and two focus group discussions. Data were analyzed using inductive content and constant comparison analysis via open and axial coding. Results were derived on the following topics: (1) cannulation technique, (2) cannula fixation, (3) local and systemic anticoagulation, and (4) vasospasm. A side-entry technique is preferred as this may decrease wall damage, stabilizes the vessel better and ensures continuous blood flow. Sutures, especially via an automatic microsurgery instrument, are favored above glue, stents, or balloons as these may be firmer and faster. Medication possibilities for both vasospasm and anticoagulation should function locally since there were uncertainties regarding the systemic effects. According to the findings of this research, the needed umbilical cord cannulation method should include minimal wall damage, improved vascular stability, blood flow maintenance, a strong fixation connection, and local anticoagulation effect.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical aspects of umbilical cord cannulation during transfer from the uterus to a liquid-based perinatal life support system for extremely premature infants a qualitative generic study

Verrips,

van Haren,

Oei

et al. 2023

PLoS ONE

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“…One limitation of our study is that we did not insert arterial line for arterial blood sampling to avoid complications that have higher incidence of occurrence in this age group. 24 Instead, we used SpO 2 and Et-CO 2 to monitor ventilation relying on the correlation between SpO 2 and PaO 2 . 25 Nonetheless, acquiring arterial samples would have been more accurate, and we could have derived some important derivatives as OI.…”

Section: Limitationsmentioning

confidence: 99%

Inverse ratio ventilation versus conventional ratio ventilation during one lung ventilation in neonatal open repair of esophageal atresia/tracheoesophageal fistula: A randomized clinical trial

Youssef,

El‐Ozairy,

El‐Hennawy

et al. 2024

Pediatric Anesthesia

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BackgroundMaintaining oxygenation during neonatal open repair of esophageal atresia/tracheoesophageal fistula is difficult. Inverse ratio ventilation can be used during one lung ventilation to improve the oxygenation and lung mechanics.ObjectiveThe aim of this study was to describe the impact of two different ventilatory strategies (inverse ratio ventilation vs. conventional ratio ventilation) during one lung ventilation in neonatal open repair of esophageal atresia/tracheoesophageal fistula on the incidence of oxygen desaturation episodes.MethodsWe enrolled 40 term neonates undergoing open right thoracotomy for esophageal atresia/tracheoesophageal fistula repair and randomly assigned into two groups based on inspiratory to expiratory ratio of mechanical ventilation parameters (2:1 in inverse ratio ventilation “IRV” and 1:2 in conventional ratio ventilation “CRV”). The incidence of desaturation episodes that required stopping the procedure and reinflation of the lung were recorded as the primary outcome while hemodynamic parameters, incidence of complications, and length of surgical procedure were recorded as the secondary outcomes.ResultsThere was a trend toward a reduction in the incidence of severe desaturations (requiring stopping of surgery) with the use of inverse ratio ventilation (15% in IRV vs. 35% in CRV, RR [95% CI] 0.429 [0.129–1.426]). Incidence of all desaturations (including those requiring only an increase in ventilatory support or inspired oxygen saturation) was also reduced (40% in IRV vs. 75% in CRV, RR [95% CI] 0.533 [0.295–0.965]). This in turn affected the length of surgical procedure being significantly shorter in inverse ratio ventilation group (mean difference −16.3, 95% CI −31.64 to −0.958). The intraoperative fraction of inspired oxygen required to maintain adequate oxygen saturation was significantly lower in the inverse ratio ventilation group than in the conventional ratio ventilation group (mean difference −0.22, 95% CI −0.33 to −0.098), with no significant difference in hemodynamic stability or complications apart from higher blood loss in inverse ratio group.ConclusionThere may be a role for inverse ratio ventilation with appropriate positive end‐expiratory pressure to reduce the incidence of hypoxemia during open repair of esophageal atresia/tracheoesophageal fistula in neonates, further studies are required to establish the safety and efficacy of this technique.

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Prinzmetal-Like Acute Limb Ischemia

Singh

Jaikaran

Kibrik

et al. 2021

Annals of Vascular Surgery

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Resolution of peripheral artery catheter-induced ischemic injury in infants -Two case reports-

Cited by 5 publications

References 10 publications

Clinical aspects of umbilical cord cannulation during transfer from the uterus to a liquid-based perinatal life support system for extremely premature infants a qualitative generic study

Clinical aspects of umbilical cord cannulation during transfer from the uterus to a liquid-based perinatal life support system for extremely premature infants a qualitative generic study

Inverse ratio ventilation versus conventional ratio ventilation during one lung ventilation in neonatal open repair of esophageal atresia/tracheoesophageal fistula: A randomized clinical trial

Prinzmetal-Like Acute Limb Ischemia

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