Document Detail


Complications of femoral artery catheterization in pediatric burn patients.
MedLine Citation:
PMID:  19349891     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective analysis of all pediatric patients admitted for acute burn treatment during a 7-year period was conducted to examine patients who underwent femoral artery catheterization and discuss the associated complications and treatment options. The total number of femoral artery catheterizations performed, nature of vascular complications, treatment rendered, and patient outcome were reviewed. Of the 1800 acute burn pediatric patients treated during our study period (1996-2002), 234 patients underwent a total of 745 femoral artery catheterizations. There was a 1.9% incidence of significant complications as a result of catheterization, including problems during catheter insertion, diminished distal arterial pulses following catheter placement and catheter malfunction. Eight patients (3.4%) developed occlusion or spasm of the femoral artery evidenced by loss of distal pulses. Of these, three required thrombectomy and the other five were treated nonsurgically with immediate catheter removal and systemic heparinization. Both groups showed similar overall outcome with return of distal pulses and absence of distal limb or tissue loss. Our findings indicate that femoral artery catheterization in pediatric burn patients is associated with a low occurrence of vascular complications. The majority of patients with acute distal limb ischemic symptoms can be managed nonoperatively with immediate removal of the catheter and systemic heparinization.
Authors:
Joshua M Mourot; Hermes M Oliveira; Lee C Woodson; David N Herndon; Dai H Chung
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of burn care & research : official publication of the American Burn Association     Volume:  30     ISSN:  1559-047X     ISO Abbreviation:  -     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-05-08     Completed Date:  2009-07-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101262774     Medline TA:  J Burn Care Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  432-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, The University of Texas Medical Branch and Shriners Burns Hospital for Children, Galveston, Texas, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Burns / complications*
Catheterization, Peripheral / adverse effects*
Child
Child, Preschool
Female
Femoral Artery / surgery*
Humans
Infant
Ischemia / etiology
Leg / blood supply
Male
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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