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Hand ischemia associated with profound hypotension and radial artery catheterization in a pediatric patient: a case
Lorraine A English1, John P Maye, Maureen T Dalton-Link
1Naval Hospital Okinawa, Japan.
Abstract:
Direct arterial blood pressure monitoring via the radial artery is a relatively common method employed during the perioperative period. Complications attributed to radial artery catheterization are extremely rare but can include thrombosis, ischemia, infection, and aneurysm formation at the site of catheter insertion. This report describes an episode of hand ischemia in a pediatric patient. The patient experienced a brief period of hypotension secondary to blood loss. A pallor hand was noticed after the patient had been adequately resuscitated. Appropriate treatment was administered, and the patient was eventually discharged to home without any further complications.
Related Concept Videos
Assessment of radial pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
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The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Cardiac Catheterization I: Pre-Procedure Overview
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Cardiac Catheterization IV: Nursing Management
Pre-Procedural Guidelines for Assessing Blood Pressure
