RADİAL ARTER KATETERİZASYONU SONRASI ELDE GÖRÜLEN İSKEMİ
Sıtkı Göksu1, Hasan Koçoğlu2, Cuma Yıldırım2, Atilla Tutak1, Ünsal Öner11Gaziantep Üniversitesi Tıp Fakültesi Anesteziyoloji Ve Reanimasyon Anabilim Dalı, Gaziantep, Turkey 2Gaziantep Üniversitesi Tıp Fakültesi Acil Servisi, Gaziantep, Turkey
ISCHEMIA OF THE HAND FOLLOWING RADIAL ARTERY CATHETERIZATION
Sıtkı Göksu1, Hasan Koçoğlu2, Cuma Yıldırım2, Atilla Tutak1, Ünsal Öner11Gaziantep Üniversitesi Tıp Fakültesi Anesteziyoloji Ve Reanimasyon Anabilim Dalı, Gaziantep, Turkey 2Gaziantep Üniversitesi Tıp Fakültesi Acil Servisi, Gaziantep, Turkey
A 26 year old women with a history of drug intoxication was taken to intensive care unit and had an ischemic, hand injury due to insufficient collateral j1ow after placement of a radial artery catheter. Ischemic hand injury 1 occurred 36 hours after the cannulation. The patient hadfingers gangrene in spite of the removal of the catheter, elevation and heating of the hand, systemic anticoagulation therapy, stellate ganglion blockade, and peripheral circulatory regulator therapy. Any evidence of hand ischemia after radial artery cannulation should be aggressively investigated and promptly treated in order to prevent morbidity and necrosis of the hand. Key Words: Radial artery cannulation, Ischemic hand injury.
Keywords: liver trauma, incomplete Behçet' s disease