Digital Ischemia in an Extreme Preterm Infant Treated with Nitroglycerin Patch

Ischemic limb lesions occasionally occur in neonates admitted to neonatal intensive care units. Known risk factors include the placement of arterial catheters, arterial punctures to obtain blood samples, and the use of vasoactive/vasopressor medications for hypotension. Prolonged peripheral tissue i...

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Main Authors: Mansour Al Qurashi, Abdulaziz Al-Khotani, Farzeen Mohtisham, Eman AlRaddadi, Heba AlShaikh, Alqassem Y. Hakami, Syed Sameer Aga
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2024/2255756
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author Mansour Al Qurashi
Abdulaziz Al-Khotani
Farzeen Mohtisham
Eman AlRaddadi
Heba AlShaikh
Alqassem Y. Hakami
Syed Sameer Aga
author_facet Mansour Al Qurashi
Abdulaziz Al-Khotani
Farzeen Mohtisham
Eman AlRaddadi
Heba AlShaikh
Alqassem Y. Hakami
Syed Sameer Aga
author_sort Mansour Al Qurashi
collection DOAJ
description Ischemic limb lesions occasionally occur in neonates admitted to neonatal intensive care units. Known risk factors include the placement of arterial catheters, arterial punctures to obtain blood samples, and the use of vasoactive/vasopressor medications for hypotension. Prolonged peripheral tissue ischemia may result in serious complications, and successful management depends on early detection, proper assessment, and the institution of appropriate intervention. Currently, there is no standard approach for the management of peripheral tissue ischemia in extreme preterm infants. Topical nitroglycerine use is one of the promising options used to manage ischemic limb injuries in neonates, as demonstrated in several case reports. We report a case of digital ischemia in an extreme preterm infant with no clear risk factors except extreme prematurity, which recovered after topical nitroglycerine therapy.
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institution Kabale University
issn 2090-6811
language English
publishDate 2024-01-01
publisher Wiley
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series Case Reports in Pediatrics
spelling doaj-art-e072ab30944542958f6a59b43416ab452025-02-03T07:23:42ZengWileyCase Reports in Pediatrics2090-68112024-01-01202410.1155/2024/2255756Digital Ischemia in an Extreme Preterm Infant Treated with Nitroglycerin PatchMansour Al Qurashi0Abdulaziz Al-Khotani1Farzeen Mohtisham2Eman AlRaddadi3Heba AlShaikh4Alqassem Y. Hakami5Syed Sameer Aga6Department of PediatricsDepartment of PediatricsDepartment of PediatricsKing Abdullah International Medical Research Centre (KAIMRC)Department of PediatricsKing Abdullah International Medical Research Centre (KAIMRC)King Abdullah International Medical Research Centre (KAIMRC)Ischemic limb lesions occasionally occur in neonates admitted to neonatal intensive care units. Known risk factors include the placement of arterial catheters, arterial punctures to obtain blood samples, and the use of vasoactive/vasopressor medications for hypotension. Prolonged peripheral tissue ischemia may result in serious complications, and successful management depends on early detection, proper assessment, and the institution of appropriate intervention. Currently, there is no standard approach for the management of peripheral tissue ischemia in extreme preterm infants. Topical nitroglycerine use is one of the promising options used to manage ischemic limb injuries in neonates, as demonstrated in several case reports. We report a case of digital ischemia in an extreme preterm infant with no clear risk factors except extreme prematurity, which recovered after topical nitroglycerine therapy.http://dx.doi.org/10.1155/2024/2255756
spellingShingle Mansour Al Qurashi
Abdulaziz Al-Khotani
Farzeen Mohtisham
Eman AlRaddadi
Heba AlShaikh
Alqassem Y. Hakami
Syed Sameer Aga
Digital Ischemia in an Extreme Preterm Infant Treated with Nitroglycerin Patch
Case Reports in Pediatrics
title Digital Ischemia in an Extreme Preterm Infant Treated with Nitroglycerin Patch
title_full Digital Ischemia in an Extreme Preterm Infant Treated with Nitroglycerin Patch
title_fullStr Digital Ischemia in an Extreme Preterm Infant Treated with Nitroglycerin Patch
title_full_unstemmed Digital Ischemia in an Extreme Preterm Infant Treated with Nitroglycerin Patch
title_short Digital Ischemia in an Extreme Preterm Infant Treated with Nitroglycerin Patch
title_sort digital ischemia in an extreme preterm infant treated with nitroglycerin patch
url http://dx.doi.org/10.1155/2024/2255756
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