Neonatal limb ischemia: caudal blockade and NIRS monitoring.
Eur J Pediatr
; 173(12): 1599-601, 2014 Dec.
Article
em En
| MEDLINE
| ID: mdl-24005341
ABSTRACT
The treatment of neonatal limb ischemia (LI) is challenging for neonatologists. Peripheral nerve blockade (PNB), alone or in association with other therapies, represents a valid therapy in case of vascular spasm or thromboembolic events responsible for LI. In the present case report, we describe the clinical history of a preterm neonate with catheter-related thrombosis of the left leg. PNB was not performed according to the traditional technique but rather by a peridural catheter left in situ for 9 days with a continuous infusion of ropivacaine. In conclusion, the effectiveness of this approach was confirmed by the contemporary near-infrared spectroscopy monitoring, documenting gradual improvement of leg perfusion.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Amidas
/
Doenças do Prematuro
/
Isquemia
/
Anestesia Caudal
/
Anestésicos Locais
/
Perna (Membro)
/
Bloqueio Nervoso
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
Eur J Pediatr
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Itália