Brakial Arter Kateterizasyonu Sonucu Oluşan Bilateral Pembe Nabızsız El

Yıl 2018, Cilt: 2 Sayı: 1, 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

Öz

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 .   

Anahtar Kelimeler

Bilateral brakial arter, Pembe nabızsız el, Kateterizasyon

Bilateral Pink Pulseless Hand as a Result of Brachıal Artery Catheterisation

Öz

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.

Anahtar Kelimeler

Bilateral brachial artery, Pulseless pink hand, Catheterisation

Kaynakça

• 1. Kuttner H, Baruch M. Der traumatische segmentare Gefasskrampf. Bruns Beitr. z. Klin Chir. 1920;120:1.
• 2. Montgomery AH, Ireland J. Traumatic segmentary arterial spasm. Journal of the American Medical Association. 1935;105(22):1741-6.
• 3. Mustard W, Simmons E. Experimental arterial spasm in the lower extremities produced by traction. Bone & Joint Journal. 1953;35(3):437-41.
• 4. Blakey C, Biant L, Birch R. Ischaemia and the pink, pulseless hand complicating supracondylar fractures of the humerus in childhood. Bone & Joint Journal. 2009;91(11):1487- 92.
• 5. Malviya A, Simmons D, Vallamshetla R, Bache CE. Pink pulseless hand following supra-condylar fractures: an audit of British practice. Journal of Pediatric Orthopaedics B. 2006;15(1):62-4.
• 6. Mangat K, Martin A, Bache C. The ‘pulseless pink’hand after supracondylar fracture of the humerus in children. Bone & Joint Journal. 2009;91(11):1521-5.
• 7. Griffin K, Walsh S, Markar S, Tang T, Boyle J, Hayes P. The pink pulseless hand: a review of the literature regarding management of vascular complications of supracondylar humeral fractures in children. European Journal of Vascular and Endovascular Surgery. 2008;36(6):697-702.
• 8. Louahem D, Cottalorda J. Acute ischemia and pink pulseless hand in 68 of 404 gartland type III supracondylar humeral fractures in children: Urgent management and therapeutic consensus. Injury. 2016;47(4):848-52.
• 9. Özkul E, Gem M, Alemdar C. et al. Vascular Injury Following Supracondylar Humerus Fractures in Children. Ulus Travma Acil Cerrahi Derg. 2016;22(1):84-9.
• 10. Arquilla B, Gupta R, Gernshiemer J, Fischer M. Acute arterial spasm in an extremity caused by inadvertent intra-arterial injection successfully treated in the emergency department. The Journal of emergency medicine. 2000;19(2):139-43