Extravasation injury in a paediatric population

Abstract

Smaller infants, particularly those being cared for in an intensive care setting, are at increased risk for extravasation injury. Early referral and treatment of high-risk extravasation injuries may reduce the incidence of tissue loss and morbidity.

Treating severe wounds in pediatrics with medical grade honey: A case series

“…Extravasation is the accidental leakage of fluid, such as medication or nutrients, into the surrounding tissue during infusion. Subsequently, this can lead to skin and soft tissue damage and result in severe ischemia, infection, and necrosis …”

“…Subsequently, | 471 SMAROPOULOS And CREMERS this can lead to skin and soft tissue damage and result in severe ischemia, infection, and necrosis. 23,24 A 9-year-old girl, with quadriplegia and severe brain damage as a consequence of a viral infection, was hospitalized for prolonged periods in the pediatric intensive care unit (PICU) because of intestinal septic episodes. The extravasation of drugs and intravenous solutions stayed unnoticed until the patient presented a stage IV ulcer with severe tissue necrosis of her forearm, covering almost the complete width ( Figure 1A).…”

Extravasation Wound Care in the Neonatal Intensive Care Unit

“…In this study, we found a similar occurrence. The tendency of upper limb involvement likely reflects the easier access of intravenous fluid to the upper limb compared to the lower limb [4,21].…”

“…However, regardless of the skill of healthcare providers, intravenous cannulation in neonates can be complicated by extravasation events. In many studies, the prevalence of at least one extravasation event in neonates was as high as 70% [2][3][4]. This high prevalence was attributable to the immature vasculature of premature infants, which makes the course of blood vessels less predictable and more vulnerable to damage compared with the blood vessels of adults [5].…”

Opções de tratamento cirúrgico em lesões cutâneas por extravasamento acidental de drogas: experiência do Hospital das Clínicas da Faculdade de Medicina da USP.

“…I njury due to extravasation of drugs is the major cause of iatrogenic morbidity in the hospital environment 1 . The incidence of this event in the literature from varies 0.1% to 6% in adult patients and from 11% to 70%, in children 2,3 . Patients at extremes of age, neonates and the elderly, are at greater risk of injury by extravasation, in addition to individuals with altered levels of consciousness or sedated, who are unable to express pain 4 .…”