Work

Unexpected Ischemia: A Case of Neonatal Ulcer After Umbilical Artery Catheter Calcium Gluconate Infusion

Year: 2025

Type: article

Abstract: Umbilical artery catheterization is a widely used method for gaining access to arterial circulation in critically ill neonates and is performed in as many as 2% of all births. Although umbilical artery catheters offer many advantages, including convenient administration of fluids and medications, arterial blood sampling, and arterial blood pressure monitoring, their use may pose unknown risks. A case of buttock ulcer is reported in a full-term infant after umbilical artery catheterization. Some of the possible causes of this unforeseen complication are discussed. Concerns regarding potential deleterious effects of intra-arterial injection of calcium gluconate on skin viability are raised, and caution is recommended when administering calcium gluconate via umbilical artery catheter.

Source: Plastic & Reconstructive Surgery Global Open

DOI: 10.1097/gox.0000000000007223

Authors: Alisha E. Suri, Alan A. Parsa, Fereydoun Don Parsa

Institutions: University of Hawaiʻi at Mānoa, University of Hawaii System

Language: English

Topic: Central Venous Catheters and Hemodialysis

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,195