Ischemic necrosis of all fingers and toes after norepinephrine use in gynecological patient

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We present a female patient of 39 years old, who in october 2016 was treated at our institution (Dr. Negrin Hospital, Canary Islands-Spain), with necrosis of all fingers and toes, referred to the Plastic Surgery Service from the Intensive Care Medicine. It was a patient diagnosed with abdominal sept...

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Detalles Bibliográficos
Autores: Pacheco Pacori, Yvan Denis, García Duque, Orlando
Formato: artículo
Fecha de Publicación:2018
Institución:Universidad Nacional Mayor de San Marcos
Repositorio:Revistas - Universidad Nacional Mayor de San Marcos
Lenguaje:español
OAI Identifier:oai:ojs.csi.unmsm:article/14942
Enlace del recurso:https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/14942
Nivel de acceso:acceso abierto
Materia:Necrosis
Norepinephrine
Norepinefrina
Descripción
Sumario:We present a female patient of 39 years old, who in october 2016 was treated at our institution (Dr. Negrin Hospital, Canary Islands-Spain), with necrosis of all fingers and toes, referred to the Plastic Surgery Service from the Intensive Care Medicine. It was a patient diagnosed with abdominal septic shock of pelvic origin due to vaginal ring infection. In the intensive care unit, the patient was treated with norepinephrine for 5 days. This catecholamine stimulates the adrenergic receptors, causing vasoconstriction and increased blood pressure. After ten days of treatment, the patient presents with ischemic necrosis of all fingers and toes, and amputation is necessary, with aesthetic and functional sequelae.
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