{"id":19348,"date":"2015-10-16T21:21:57","date_gmt":"2015-10-16T15:51:57","guid":{"rendered":"https:\/\/cardiophile.org\/?p=19348"},"modified":"2022-12-24T17:13:41","modified_gmt":"2022-12-24T11:43:41","slug":"absent-radial-pulse-in-icu-setting","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/absent-radial-pulse-in-icu-setting\/","title":{"rendered":"Absent radial pulse in ICU setting"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/qOVkHkculLk\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Absent radial pulse in ICU setting<\/span><\/h2>\n<p>What possibilities are to be considered when a radial pulse is absent in a patient in the ICU:<\/p>\n<ol>\n<li>Aberrant radial artery &#8211; look for the aberrant artery pulsation in the &#8216;anatomical snuff box&#8217; on the lateral aspect of the wrist near the base of the first metacarpal. The importance of recognizing the aberrant radial artery is that it can be mistaken for a vein and cannulated. Some medications which are to be injected into a vein, if given into the radial artery can lead to thrombosis and distal gangrene. It may be difficult to salvage the distal territory in spite of surgical venous grafting [1].<\/li>\n<li>Occluded radial artery due to previous trauma, aortoarteritis, embolic occlusion or peripheral vascular disease.<\/li>\n<li>Dissection of ascending aorta compromising the ostium of subclavian artery.<\/li>\n<li>Automatic inflation of non invasive blood pressure cuff occurring at the time of examination. Though it is a transient phenomenon, it can fool you sometimes in the ICU. The same applies to pulse oximetry tracings and SPO2 readings, if the sensor is kept on the same limb.<\/li>\n<\/ol>\n<p><strong><span style=\"color: #0000ff;\">Reference<\/span><\/strong><\/p>\n<ol>\n<li>Beale EW, Behnam A. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3371123\/\">Injection injury of an aberrant superficial radial artery requiring surgical intervention<\/a>. J Hand Microsurg. 2012 Jun;4(1):39-42.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Absent radial pulse in ICU setting What possibilities are to be considered when a radial pulse is absent in a patient in the ICU: Aberrant radial artery &#8211; look for the aberrant artery pulsation in the &#8216;anatomical snuff box&#8217; on the lateral aspect of the wrist near the base of the first metacarpal. The importance [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":33074,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-19348","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Absent radial pulse in ICU setting - various causes<\/title>\n<meta name=\"description\" content=\"Absent radial pulse in ICU setting: Aberrant radial artery, occluded radial artery, dissection of ascending aorta, automatic inflation of NIBP cuff.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/absent-radial-pulse-in-icu-setting\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Absent radial pulse in ICU setting - 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