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Hand ischemia after radial artery cannulation
Isquemia de la mano tras la canulación de la arteria radial
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Kaissi, J. Laoutid" "autores" => array:2 [ 0 => array:4 [ "nombre" => "J.E." "apellidos" => "Kaissi" "email" => array:1 [ 0 => "dr.jaber109@Gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Laoutid" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Anesthesiology & Intensive Care Unit Department, Moulay Ismail Military Hospital, Meknes, Morocco" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Faculty of Medicine, Sidi Mohammed Ben Abdellah University, Fez, Morocco" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author:" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Isquemia de la mano tras la canulación de la arteria radial" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1351 "Ancho" => 1018 "Tamanyo" => 183285 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ischaemia in the radial artery territory. The catheter was removed after onset of signs.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 63 years old man admitted for septic shock. A 3<span class="elsevierStyleHsp" style=""></span>F 8<span class="elsevierStyleHsp" style=""></span>cm x1<span class="elsevierStyleHsp" style=""></span>mm 20<span class="elsevierStyleHsp" style=""></span>G seldicath (Prodimed, France) radial catheter was inserted for monitoring using the palpation technique and then flushed with heparin. Cannulation was only successful after multiple attempts. Three days later, the patient has developed hand ischaemia (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The catheter was removed and anticoagulation administrated. Radial artery cannulation is considered a safe procedure. However, rare ischaemic complications may occur. The Allen test may be useful in preventing complications, but it has low sensibility, even when combined with pulse oximetry, and daily examination of the hand is still the key to avoiding such complications. Catheters should be removed at the onset of signs. Multiple attempts have been described as a major risk factor, and in this regard ultrasound-guided cannulation can reduce the number of attempts, and Doppler ultrasound can evaluate arterial blood supply to the hand.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0010" class="elsevierStylePara elsevierViewall">Authors declare that they do not have any conflict of interest</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1351 "Ancho" => 1018 "Tamanyo" => 183285 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ischaemia in the radial artery territory. The catheter was removed after onset of signs.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006900000009/v1_202211040623/S2341192922001652/v1_202211040623/en/main.assets" "Apartado" => array:4 [ "identificador" => "70433" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006900000009/v1_202211040623/S2341192922001652/v1_202211040623/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192922001652?idApp=UINPBA00004N" ]
