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GANGRENE FOLLOWING INTRA-ARTERIAL TRANSFUSION

GANGRENE FOLLOWING INTRA-ARTERIAL TRANSFUSION In a recent summary of the literature, Seeley discussed the clinical indications for the use of intra-arterial blood transfusions. Intra-arterial transfusions have been employed to an increasing extent by surgeons and anesthesiologists, at times without regard to the hazards involved. Anatomic variations of the palmar arches have been reported. In 2 to 5% of the cases, the radioulnar anastomosis is not present as a palmar arch. Varying degrees of ischemia and gangrene of the index finger and thumb were revealed early in the use of transfusions into the radial artery. Two cases of gangrene due to intra-arterial transfusion are presented, together with certain precautions and measures that may be used to minimize the risk of this complication. Case 1.—A 7-year-old boy with an appromixately 55% third degree burn, which occurred at 5:30 p. m. when he slipped into a pit of hot ashes at the city dump, was admitted to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

GANGRENE FOLLOWING INTRA-ARTERIAL TRANSFUSION

Blakemore, William S.; Dumke, Paul R.; Rhoads, Jonathan E.
JAMA , Volume 151 (12) – Mar 21, 1953
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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1953.02940120022005
Publisher site
See Article on Publisher Site

Abstract

In a recent summary of the literature, Seeley discussed the clinical indications for the use of intra-arterial blood transfusions. Intra-arterial transfusions have been employed to an increasing extent by surgeons and anesthesiologists, at times without regard to the hazards involved. Anatomic variations of the palmar arches have been reported. In 2 to 5% of the cases, the radioulnar anastomosis is not present as a palmar arch. Varying degrees of ischemia and gangrene of the index finger and thumb were revealed early in the use of transfusions into the radial artery. Two cases of gangrene due to intra-arterial transfusion are presented, together with certain precautions and measures that may be used to minimize the risk of this complication. Case 1.—A 7-year-old boy with an appromixately 55% third degree burn, which occurred at 5:30 p. m. when he slipped into a pit of hot ashes at the city dump, was admitted to

Journal

JAMA – American Medical Association

Published: Mar 21, 1953

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