Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2019 , Vol 28 , Issue 2
Pulse oximetry of pink pulseless hand in supracondylar fracture of humerus in a pediatric patient
Vitaliy Petrov1
1Department of Surgery, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine DOI : 10.9739/tjvs.2020.447 A five-year-old boy was admitted with a supracondylar fracture of the distal humerus. After the closed reduction, the hand was pink, but persistent absence of radial pulse was revealed. Pulse oximetry detected flattened waveform compared to the unaffected limb. Doppler ultrasound examination suggested distal brachial artery occlusion. During operation, artery dissection was found, the injured segment was resected, and the vessel was repaired in an end-to-end fashion. In conclusion, pulse oximetry with waveform analysis is a valuable method for screening of brachial artery injuries in children with a pink pulseless hand. Keywords : Brachial artery, humeral fractures, photoplethysmography, vascular injuries