Neonatal limb ischemia: caudal blockade and NIRS monitoring.
(2014) European journal of pediatrics — Vol. 173, n° 12, p. 1599-1601 (2014)
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- Authors
- 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.
- Affiliations
Bambino Gesù Children’s Hospital – (Italy) Roma Department of Medical and Surgical Neonatology
Citations
Piersigilli, F., Bersani, I., Giliberti, P., Ronchetti, M. P., Mancinelli, R. L., Cavadenti, I., & Dotta, A. (2014). Neonatal limb ischemia: caudal blockade and NIRS monitoring. European journal of pediatrics, 173(12), 1599-1601. https://doi.org/10.1007/s00431-013-2152-y (Original work published 2014)