Brakial Arter Kateterizasyonu Sonucu Oluşan Bilateral Pembe Nabızsız El

Year 2018, , 40 - 42, 12.03.2018

İbrahim Avşin Öztürk Ahmet Köse , Muhammed Çağatay Engin , Murat Topal , Ali Bilge

https://doi.org/10.30565/medalanya.373777

Cited By: 1

Abstract

İntravenöz
kateterler acil servislerde hastaları hidrate etmek, hızlı ilaç uygulamak ve
tek bir invaziv işlem ile seri kan örneği almak için en kullanışlı araçlardır.
Venöz kateterler kazara artere uygulanabilmektedir ve bu durum klinikte
nabızsız el tablosuna neden olabilmektedir. Pembe nabızsız elin takibi
ekstremiteyi kurtarmak için çok önemli bir prosedürdür. Sunmuş olduğumuz vaka
üst ekstremitede herhangi bir travma öyküsü olmayan, ancak venöz kateterizasyon
sırasında kaza ile arteryel vasküler yaralanmaya sekonder gelişen bilateral
pembe nabızsız el ile başvuran 3 günlük infanttır. Pembe nabızsız el tedavisi
hala literatürde tartışmalıdır. Yakın izlem uygulanabilen pembe nabızsız el
olgularında yakın takip uygulanabilir ve cerrahi eksplorasyon olmadan iyi sonuçlar
elde edilebilmektedir .   

Keywords

Bilateral brakial arter, Pembe nabızsız el, Kateterizasyon

Bilateral Pink Pulseless Hand as a Result of Brachıal Artery Catheterisation

Abstract

In
emergency services, Intravenous
catheters are most useful instruments to hidrate patients, administrate drugs
fast and get serial blood sample with a single invasive procedure emergency
departments. Accidentally, the venous catheters may be introduced into arteries
ending up with pulseless hands. Following up pink pulseness hands is an
important concept to rescue the extremity. The presented case is a 3-days old
infant with no trauma history to the upper extremities but showing up with
bilateral, pink, pulseless hand secondary to accidental arterial vascular
injury during venous catheterization. Pink pulseness hand treatment is still controversial
in the literature. In pink pulseness hand cases 
where close monitoring can be applied, good results are obtained without
surgical exploration.

Keywords

Bilateral brachial artery, Pulseless pink hand, Catheterisation

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