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- Title
Neonatal ischemic limb lesions: From etiology to topical nitroglycerine. A case series analysis.
- Authors
Falsaperla, Raffaele; Lo Bianco, Manuela; Giugno, Andrea; Lena, Germana; Sciuto, Laura; Spata, Francesco; Guarneri, Claudio; Pavone, Piero; Ruggieri, Martino
- Abstract
Although rare, ischemic lesions in neonates may occur in Neonatal Intensive Care Units (NICUs) secondary to routine procedures and/or medicaments. We present double‐center case series, reporting three preterm neonates with ischemic lesions following cardiac arrest and radial blood sampling. The overall outcome after treatment with 2% nitroglycerine (NTG) ointment showed optimal results with no adverse events. The most frequent causes responsible for the onset of such lesions are peripheral arterial catheterization procedures and dopamine extravasation. Our series describe the cardiac arrest as an underestimated cause of onset. Despite the optimal results emerging from the treatment of such lesions with NTG ointment, both in our experience and in the scientific literature, a defined protocol for its use in NICUs is not currently available, hence the need for further studies.
- Subjects
EXTRAVASATION; CEREBRAL anoxia-ischemia; NEONATAL intensive care units; ARTERIAL catheterization; SCIENTIFIC literature; CARDIAC arrest; ETIOLOGY of diseases
- Publication
Dermatologic Therapy, 2022, Vol 35, Issue 5, p1
- ISSN
1396-0296
- Publication type
Article
- DOI
10.1111/dth.15426