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Neonatal Med > Volume 24(4); 2017 > Article
Neonatal Medicine 2017;24(4):197-201.
DOI: https://doi.org/10.5385/nm.2017.24.4.197    Published online November 30, 2017.
Successful Management of Severe Peripheral Tissue Ischemia after Arterial Catheterization in Micro Preemies using Humidification & Topical Nitroglycerin.
Yea Seul Han, Songyi Song, Tae Jung Sung, Jiyoung Chun
Department of Pediatrics, Kangnam Sacred Heart Hospital, Hallym University Medical Center, Seoul, Korea. jiyoung2010@hallym.or.kr
Abstract
Micro preemies usually undergo arterial catheterization for frequent blood pressure monitoring and blood sampling. Peripheral tissue injury associated arterial catheterization is a well-described morbidity observed in neonates. Despite the potential permanent disability associated with this complication, the currently available therapeutic options remain limited. We report a unique case of a preterm infant who developed severe tissue ischemia after arterial catheterization of the radial artery and was successfully treated using extensive humidification and topical nitroglycerin ointment application over an extended period (36 days) until complete clinical recovery.
Key Words: Catheterization, Humidity, Ischemia, Premature infants, Nitroglycerin
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