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- Fiammetta Piersigilli, Iliana Bersani, Paola Giliberti, Maria Paola Ronchetti, Raul Laviani Mancinelli, Ilaria Cavadenti, and Andrea Dotta.
- Department of Neonatology, Bambino Gesù Children's Hospital, Piazza S. Onofrio 4, 00165, Rome, Italy.
- Eur. J. Pediatr. 2014 Dec 1;173(12):1599-601.
AbstractThe 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.
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