Question

Baby boy Daniel’s birth occurred a short time ago and was traumatic. He sustained a bone fracture, and the left side of his face appears to droop

1.. What is most likely causing the neonate’s face to droop?

2. What is the most likely site for placement of the intra-arterial measurement? Where will the central line be placed?

3. What is most likely causing the neonate’s face to droop?

Answer 1

Ans.

1. The most common form of facial nerve palsy due to birth trauma involves only the lower part of the facial nerve. This part controls the muscles around the lips. The muscle weakness is mainly noticeable when the infant cries.

causes facial droop .If you are otherwise healthy, the most common cause of facial droop is Bell's palsy. This occurs when the nerve in your face becomes inflamed due to infection with a virus. It's usually temporary, but it could be 3 to 9 months before your face returns to normal.

2.

the most likely site for placement of the central line in the neonate for placement of an intra arterial measurement-

The most common insertion sites are the access via the femoral vein , the internal jugular vein and the subclavian vein. In addition in neonates, there are possibilities for peripheral access with long line silastic catheter via the cubital or the saphenous vein.

Patient positioning is a key part of the procedure. The two most common sites for arterial line placement are the radial and femoral arteries. The radial artery is most commonly used due to its superficial location. Place the patient's arm on a flat surface in supine position, with the wrist adequately exposed

3. Same question repeated. Question no.1