桡动脉插管和盐水冲洗后可逆性皮肤苍白。你是做什么的？

Q2 Medicine

Acta Biomedica de l''Ateneo Parmense Pub Date : 2023-07-24 DOI:10.23750/abm.v94iS1.14199

Carmen Fierro, Salvatore Maurizio Maggiore, Luigi Vetrugno

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引用次数: 0

摘要

桡动脉插管广泛应用于重症监护室。然而，它并非没有风险。我们对一名75岁的男性的左桡动脉进行了插管，并观察到了这种现象，但从文献检索中发现信息不足。我们提出，用盐水冲洗线路后，插入部位周围的苍白可能是由于冷高压注射，导致局部浅表血管痉挛。幸运的是，一旦停止动脉灌洗，皮肤苍白就消失了。从业者可能较少观察到这种现象，从而低估了相关并发症的可能性。

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Radial artery cannulation and reversible skin pallor after saline flushing. What do you do?

Radial artery cannulation is widely used in intensive care units. However, it is not free from risks. We cannulated the left radial artery in a 75-year-old man and observed this phenomenon but found poor information from literature searches. We propose that the pallor around the insertion site after flushing the line with saline may be due to the cold and high-pressure injection, causing localized superficial vasospasm. Luckily, skin pallor resolved once the arterial lavage was stopped. This phenomenon may be less observed by practitioners leading to underestimating the possibility of related complications.

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来源期刊

Acta Biomedica de l''Ateneo Parmense Medicine-Medicine (all)

CiteScore

4.30

自引率

0.00%

发文量

期刊介绍： Acta Bio Medica Atenei Parmensis is the official Journal of the Society of Medicine and Natural Sciences of Parma, and it is one of the few Italian Journals to be included in many excellent scientific data banks (i.e. MEDLINE). Acta Bio Medica was founded in 1887 and its founders and collaborators, Clinicians and Surgeons, entered history. Acta Bio Medica Atenei Parmensis publishes Original Articles, Commentaries, Review Articles, Case Reports of experimental and general Medicine. A section is devoted to a Continuous Medical Education programme in order to help primary care Physicians to improve the quality of care.