Document Detail

Prolonged cannulation of the left internal mammary artery (LIMA) for blood pressure monitoring in a child after cardiopulmonary bypass.
MedLine Citation:
PMID:  14617128     Owner:  NLM     Status:  MEDLINE    
Cannulation of the radial artery percutaneously or by cut down is frequently used to monitor blood pressure in infants and children undergoing cardiopulmonary bypass. When radial artery cannulation is difficult because of previous cannulation attempts, and/or surgical cut downs, posterior tibial artery cannulation is sometimes undertaken. We describe a child in whom the left internal mammary artery (LIMA) was chosen for monitoring arterial blood pressure because of malfunction of the existing posterior tibial arterial pressure line after cardiopulmonary bypass. This line was used for more than 3 weeks postoperatively in the intensive care unit for monitoring and for sampling. There were no complications with the placement and/or the removal of this arterial line on the 25th postoperative day. When standard arterial monitoring sites are not accessible, internal mammary artery cannulation can provide reliable access for prolonged arterial blood pressure monitoring in the postoperative period in children.
Susan T Verghese; Jeff E Sell; Frank M Midgley; Mark Margolis; Gerard R Martin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  13     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-11-17     Completed Date:  2004-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  832-4     Citation Subset:  IM    
Departments of Anesthesiology Cardiothoracic Surgery Cardiology, Children's National Medical Center and George Washington University, Washington, DC 20010, USA.
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MeSH Terms
Blood Pressure / physiology
Blood Pressure Determination / instrumentation
Cardiopulmonary Bypass*
Cardiovascular Abnormalities / surgery
Intensive Care / methods
Mammary Arteries / physiology*
Postoperative Period
Time Factors

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

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