Les garrots de prélèvement, un drame chez le nourrisson: à propos de 3 cas
| Autor: | Daouda Ouedraogo, Rodrigue Namékinsba Doamba, Edgar Ouangré, Maurice Zida, Moussa Bazongo, Isso Ouédraogo, Gilbert Patindé Bonkoungou, Nayi Zongo, Adama Sanou, Si Simon Traoré |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Case Report Physical examination Amputation Surgical law.invention Gangrene Upper Extremity law amputation medicine Edema Humans Medical history ischemic gangrene limb Blood Specimen Collection lcsh:R5-920 Tourniquet medicine.diagnostic_test business.industry lcsh:Public aspects of medicine Malpractice Infant lcsh:RA1-1270 General Medicine Tourniquets medicine.disease Intensive care unit garrot Surgery membre body regions gangrène ischémique medicine.anatomical_structure Debridement Amputation Upper limb lcsh:Medicine (General) business Blood sampling |
| Zdroj: | The Pan African Medical Journal, Vol 23, Iss 68 (2016) The Pan African Medical Journal Pan African Medical Journal; Vol 23, No 1 (2016) |
| ISSN: | 1937-8688 |
| Popis: | The time limit for the removal of a tourniquet is short; any delay in tourniquet deflation, especially if it exceeds the 3 hour limit, exposes to amputation hazards. Our objective was to report three cases of ischemic limb gangrene, caused by having forgotten to take a tourniquet off after a blood sampling, to inform healthcare professionals about the risk associated with that negligence. We encountered 3 cases of infants (2 three-month-old infants and 1 five-month-old infant), hospitalized in intensive care unit of Yalgado Ouédraogo University Hospital for upper-left limb swelling. Their medical history shows that there was a delay in tourniquet deflation after a blood sampling of 24 hours in two cases and of 48 hours in one case. Physical examination revealed a diffuse edema associated with upper limb gangrene spread to the mid-third of the upper arm, abolition of the ulnar and radial pulse as well as loss of sensation in the hand in 2 cases. In one case clinical signs were attenuated. The diagnosis of ischemic limb gangrene was confirmed in all cases. Laboratory examinations were normal. Two cases needed urgent trans-humeral amputation and one case needed debridement plus amputation of four fingers. The evolution was simple in all cases. Iatrogenic dry gangrene caused by a delay in tourniquet removal should never happen at hospitals. This can be guaranteed only by tightening up health management and by performing regular and accurate patient monitoring. |
| Databáze: | OpenAIRE |
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