Carmen Fierro, Salvatore Maurizio Maggiore, Luigi Vetrugno
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Radial artery cannulation and reversible skin pallor after saline flushing. What do you do?
Radial artery cannulation is widely used in intensive care units. However, it is not free from risks. We cannulated the left radial artery in a 75-year-old man and observed this phenomenon but found poor information from literature searches. We propose that the pallor around the insertion site after flushing the line with saline may be due to the cold and high-pressure injection, causing localized superficial vasospasm. Luckily, skin pallor resolved once the arterial lavage was stopped. This phenomenon may be less observed by practitioners leading to underestimating the possibility of related complications.
期刊介绍：
Acta Bio Medica Atenei Parmensis is the official Journal of the Society of Medicine and Natural Sciences of Parma, and it is one of the few Italian Journals to be included in many excellent scientific data banks (i.e. MEDLINE). Acta Bio Medica was founded in 1887 and its founders and collaborators, Clinicians and Surgeons, entered history. Acta Bio Medica Atenei Parmensis publishes Original Articles, Commentaries, Review Articles, Case Reports of experimental and general Medicine. A section is devoted to a Continuous Medical Education programme in order to help primary care Physicians to improve the quality of care.
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