Phenomenal role of nitroglycerin in the treatment of neonatal digital gangrene

Introduction: Placement of peripheral venous catheter is a common requirement for the neonates requiring intensive care unit admissions. This simple procedure can sometimes lead to catastrophic complications such as peripheral tissue ischemia/gangrene. This is particularly common in preterm neonates...

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Bibliographic Details
Published in:Indian journal of paediatric dermatology 2021-07, Vol.22 (3), p.257-259
Main Authors: Choudhary, Rahul, Choudhary, Susil, Sachdeva, Garima, Maria, Arti
Format: Article
Language:English
Subjects:
blackish discoloration
Care and treatment
Gangrene
Infants (Premature)
intensive care unit
ischemia
neonates
Nitrates
Nitroglycerin
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Summary:Introduction: Placement of peripheral venous catheter is a common requirement for the neonates requiring intensive care unit admissions. This simple procedure can sometimes lead to catastrophic complications such as peripheral tissue ischemia/gangrene. This is particularly common in preterm neonates. Effective treatment is very important to prevent long-term sequelae or need for amputation. Nitroglycerin (NTG) is a potent smooth muscle relaxant and improves vascular flow. Case Report: Here, we report a case of neonatal digital gangrene which was successfully treated with topical NTG with no adverse outcome. Discussion: Topical NTG is a potential treatment option for neonatal peripheral gangrene.
ISSN:2319-7250
2319-7269
DOI:10.4103/ijpd.IJPD_117_20