Gangrene of the extremities following umbilical vessel catherisation: a report of two cases

  • Nnamdi B Onyire Department of Paediatrics, Federal Medical Centre, Abakaliki, Ebonyi State
  • Samuel N Obi Department of Obstetrics and Gynaecology, Federal Medical Centre, Abakaliki, Ebonyi State
  • Catejan U Nwadinigwe Department of Orthopaedics and Trauma, Federal Medical Centre, Abakaliki, Ebonyi State
Keywords: Umbilical catherization, septicaemia, peripheral limb gangrene

Abstract

Background: Umbilical vessel catherisatio is a common practice but fraught with dangers.

Objective: To share our experience with two cases of umbilical catheterization complicated by peripheral gangrene.

Method: The case records of the two patients were reviewed. Relevant literatures on the subject are presented.

Results: There were neonates with neonatal sepsis. Initial attempt to secure peripheral veins failed and umbilical catheterization was done without bleaching. Both developed peripheral gangrene between 4-9 days post catheterization.

Conclusion: We reaffirm earlier observations that umbilical catheterization beyond 48 hours is associated with high risk of peripheral gangrene.

Keywords: Umbilical catherization, septicaemia, peripheral limb gangrene

Orient Journal of Medicine Vol. 17 (1&2) 2005: 15-17
Published
2005-10-24
Section
Articles

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eISSN: 1115-0521