Digital ischemia complication of arterial line placement in ICU setting: A case report

Authors

  • Mariya Khadka Anesthesia Resident, Kist Medical College and Teaching Hospital, Imadole, Lalitpur, Nepal.
  • Tamanna Bajracharya Professor, Kist Medical College and Teaching Hospital, Imadole, Lalitpur, Nepal
  • Rajani Baniya Anesthesia Resident, Kist Medical College and Teaching Hospital, Imadole, Lalitpur, Nepal.

DOI:

https://doi.org/10.59847/jsan328

Keywords:

Arterial line placement, digital ischemia, hemodynamic monitoring

Abstract

Indwelling arterial catheters are used routinely for continuous hemodynamic monitoring during major surgery and in critically ill patients. The radial artery is the preferred location for arterial catheterization because of its reliable anatomical accessibility, ease of insertion, and low rate of complications, including a rare occurrence of permanent ischemic complications at 0.09%. Complications associated with arterial catheterization include permanent ischemic injury, temporary blockage, sepsis, localized infection, bleeding, or the formation of a hematoma. We describe a complication in which arterial catheterization was associated with distal ischemia. This case report highlights the risk associated with arterial cannulation and
suggests using a dependable test to confirm the patency of the palmar arch to prevent ischemic damage.

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Published

2023-10-16

How to Cite

Khadka, M., Bajracharya, T. ., & Baniya, R. . (2023). Digital ischemia complication of arterial line placement in ICU setting: A case report. Journal of Society of Anesthesiologists of Nepal, 10(1), 35-37. https://doi.org/10.59847/jsan328

Issue

Vol. 10 No. 1 (2023)

Section

Case Report

License

Copyright (c) 2023 Dr Mariya Khadka, Dr Tamanna Bajracharya, Dr Rajani Baniya

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-NC-4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.