PEDIATRICS Vol. 65 No. 1 January 1980, pp. 139-141
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Major Complication Secondary to Percutaneous Radial Artery Catheterization in the Neonate

Glen W. Cartwright MD1 and Richard L. Schreiner MD1

1 Indiana University School of Medicine Indianapolis

Severe respiratory distress in the newborn requires frequent monitoring of arterial pH, Po2, and Pco2. Indwelling arterial catheters are frequently used in most severely ill infants for arterial blood sampling. Suggested sites for these lines have included the umbilical artery, temporal artery, radial artery, posterior tibial artery, dorsalis pedis artery, and the ulnar artery. It is well appreciated that there are serious and sometimes fatal complications from umbilical artery catheterization.1,2 A recent report suggests the possibility of cerebral vascular complications with temporal artery catheterization.3 Recently, a number of investigators have advocated the use of percutaneous radial artery catheterization.4-6 To our knowledge, there has been only one reported case in a neonate of a significant complication with radial arterial catheterization.

Submitted on November 27, 1978
Accepted on January 9, 1979




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