Journal of Plastic, Reconstructive & Aesthetic Surgery
Case reportDeep dopamine extravasation injury: a case report
Section snippets
Case report
A 3-month-old female patient with Down's syndrome underwent cardiac surgery for pulmonary artery banding of an AV canal. A left internal jugular, central venous catheter was placed intra-operatively and was used to deliver dopamine due to haemodynamic instability. On postoperative day 1, the internal jugular catheter was removed due to poor function and a femoral central venous line was placed. No problems in the left upper extremity were noticed. The patient was extubated on postoperative day
Discussion
Even though dopamine is commonly used to support cardiac output and blood pressure in patients with cardiac failure, literature is available for very few cases that report the effects of extravasation by dopamine infusion. Previous cases have reported that dopamine may cause tissue damage within 3 h of high- or low-dose infusion and immediate action is required to salvage the dermis and surrounding area.1, 2, 3, 4, 5, 6 The child in our report, first presented signs of left brachial plexus palsy
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