A patient in ICU was on invasive monitoring with intra arterial canulation through right radial artery for last 3 days. Later he developed swelling and discolouration of right hand. The next line of management is –
Swelling and discoloration of hand after 3 days radial artery cannulation suggests arterial thrombosis.
Radial artery cannulation can cause thrombosis of radial artery and ischemic damage. Aggressive management, e.g. brachial plexus block or stellate ganglion block may be required to avoid permanent damage.
Stellate ganglion block
Paravertebral block
Radial Nerve block
Celiac plexus block