Extravasation of calcium solution in the child: Value of negative-pressure wound therapy

Girard, Pierre; Plancq, Marie-Christine; Tourneux, P.; Deroussen, François; Gouron, Richard; Klein, Céline

doi:10.1016/j.arcped.2019.09.011

Cited by 6 publications

(15 citation statements)

References 12 publications

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“…First aid interventions, as shown in Figure 2a , were identified in 26 studies. 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 Stopping the IV and removal was the most common intervention, 16 , 17 , 18 , 19 , 22 , 23 , 25 , 26 , 28 , 29 , 30 , 31 , 34 , 35 followed by elevation 16 , 17 , 19 , 20 , 21 , 24 , 25 , 26 , 28 , 29 , 31 , 32 and compression. 17 , 27 , 29 , 31 ,…”

Section: Resultsmentioning

confidence: 99%

“…Surgical interventions, as shown in Figure 2c , were utilized in 22 studies. 16 , 17 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 27 , 28 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 40 , 41 , 42 Surgical puncture 17 , 21 , 22 , 23 , 25 , 28 , 30 , 31 , 33 , 35 , 37 , 40 , 41 , 42 and surgical cleaning 17 , 21 , 23 , 25 , 28 , 30 , 31 , 32 , 33 , 35 , 37 , 40 , 41 were most routinely used among the studies. Moreover, debridement, 16 ,…”

Section: Resultsmentioning

confidence: 99%

“…The use of dressings as an intervention, as shown in Figure 2d , was evident within 21 studies. 16 , 17 , 19 , 22 , 23 , 24 , 25 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 36 , 37 , 38 , 40 , 41 , 42 Moist gauze (saline/iodine) was the most used dressing, followed by foam, silicone‐based, silver, and hydrocolloid dressings. Dressings used throughout the studies were primarily used after the extravasation injury had been managed with alternative interventions.…”

Section: Resultsmentioning

confidence: 99%

“…The improvement of treatments was often not reported in detail; however, tissue dysfunction and physical defects were the second most reported in neonates and children. Lastly, one study identified slough formation, 37 agitation/movement restriction, 22 and identified anemia 32 as side effects caused by the treatment.…”

Section: Resultsmentioning

confidence: 99%

“…16,17,[19][20][21][22][23][24][25]27,28,[30][31][32][33][34][35][36][37][38][40][41][42] Surgical puncture 17,[21][22][23]25,28,30,31,33,35,37,[40][41][42] and surgical cleaning 17,21,23,25,28,[30][31][32][33]35,37,40,41 were most routinely used among the studies. Moreover, debridement, 16,17,…”

Section: Surgicalmentioning

confidence: 99%

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Extravasation injury management for neonates and children: A systematic review and aggregated case series

Dufficy

Takashima

Cunninghame

et al. 2022

Journal of Hospital Medicine

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Background: Pediatric extravasation injuries are significant healthcare-associated injuries, with sometimes significant sequelae. Evidence-based guidance on management is necessary to prevent permanent injury.Purpose: A systematic review of the literature, including aggregated case series, investigating extravasation injury management of hospitalized pediatric patients. Data Sources: PubMed, Cummulative Index to Nursing and Allied Health Literature (CINAHL), and Excerpta Medica database (EMBASE) were searched on December 13, 2021. Study Selection: Primary research investigating extravasation injury management of hospitalized pediatric patients (to 18 years), published from 2010 onwards and in English, independently screened by two authors, with arbitration from a third author. Data Extraction: Data regarding the study, patient (age, primary diagnosis), extravasation (site, presentation, outcome), and treatment (first aid, wound management) were extracted by two authors, with arbitration from a third author.Data Synthesis: From an initial 1769 articles, 27 studies were included with extractable case data reported in 18 studies, resulting in 33 cases. No clinical trials were identified, instead, studies were primarily case studies (52%) of neonates (67%), with varied extravasation symptoms. Studies had good selection and ascertainment, but few met the causality and reporting requirements for quality assessments. Signs and symptoms varied, with scarring (45%) and necrosis (30%) commonly described.Diverse treatments were categorized into first aid, medical, surgical, and dressings.Conclusions: Despite infiltration and extravasation injuries being common within pediatric healthcare, management interventions are under-researched, with low-quality studies and no consensus on treatments or outcomes.

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