Neonatal limb ischemia: caudal blockade and NIRS monitoring

Fiammetta Piersigilli, Iliana Bersani, Paola Giliberti, Maria Paola Ronchetti, Raul Laviani Mancinelli, Ilaria Cavadenti, Andrea Dotta

Research output: Contribution to journalArticle

Abstract

The treatment of neonatal limb ischemia (LI) is challenging for neonatologists. Peripheral nerve blockade (PNB), alone or in association with other therapies, represents a valid therapy in case of vascular spasm or thromboembolic events responsible for LI. In the present case report, we describe the clinical history of a preterm neonate with catheter-related thrombosis of the left leg. PNB was not performed according to the traditional technique but rather by a peridural catheter left in situ for 9 days with a continuous infusion of ropivacaine. In conclusion, the effectiveness of this approach was confirmed by the contemporary near-infrared spectroscopy monitoring, documenting gradual improvement of leg perfusion.

Original languageEnglish
Pages (from-to)1599-1601
Number of pages3
JournalEuropean Journal of Pediatrics
Volume173
Issue number12
DOIs
Publication statusPublished - 2013

Keywords

  • Arterial spasm
  • Caudal blockade
  • Neonatal thrombosis
  • NIRS

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

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  • Cite this

    Piersigilli, F., Bersani, I., Giliberti, P., Ronchetti, M. P., Mancinelli, R. L., Cavadenti, I., & Dotta, A. (2013). Neonatal limb ischemia: caudal blockade and NIRS monitoring. European Journal of Pediatrics, 173(12), 1599-1601. https://doi.org/10.1007/s00431-013-2152-y