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- Title
Neonatal limb ischemia: caudal blockade and NIRS monitoring.
- Authors
Piersigilli, Fiammetta; Bersani, Iliana; Giliberti, Paola; Ronchetti, Maria; Mancinelli, Raul; Cavadenti, Ilaria; Dotta, Andrea
- 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.
- Subjects
ISCHEMIA; NEONATOLOGISTS; PERONEAL nerve diseases; THROMBOSIS; CATHETERS
- Publication
European Journal of Pediatrics, 2014, Vol 173, Issue 12, p1599
- ISSN
0340-6199
- Publication type
Article
- DOI
10.1007/s00431-013-2152-y