Literature DB >> 35165627

Case Series of Neonatal Extravasation Injury: Importance of Early Identification and Management.

Chun Kai Yew1,2, Siti Fatimah Noor Mat Johar1, Wee Yi Lim2.   

Abstract

Extravasation injury is a common iatrogenic injury, especially in neonates. Intravenous access is essential in neonatal care, but neonatal extravasation injury is associated with severe morbidity. We present three cases of neonatal extravasation injuries with varying presentations, etiological agents, and timing of management. It shows that extravasation injuries treated with the saline flush-out technique and timely intervention have a superior outcome with almost immediate resolution and subsequent healing with no scars. This is in stark contrast with the lesions treated conservatively with dressings that took more time to heal. We are reminded to be vigilant with infusion therapies and the importance of early detection and prompt treatment in neonatal extravasation injuries.
Copyright © 2022, Yew et al.

Entities:  

Keywords:  cannula; dressing; extravasation injury; extravasation of diagnostic and therapeutic materials; gault technique; intravenous fluid; necrosis; neonate; newborn; saline flush-out

Year:  2022        PMID: 35165627      PMCID: PMC8837468          DOI: 10.7759/cureus.21179

Source DB:  PubMed          Journal:  Cureus        ISSN: 2168-8184


  8 in total

1.  Skin necrosis from extravasation of intravenous fluids in children.

Authors:  A S Brown; D J Hoelzer; S A Piercy
Journal:  Plast Reconstr Surg       Date:  1979-08       Impact factor: 4.730

Review 2.  Extravasation injuries: a review.

Authors:  I Goutos; L K Cogswell; H Giele
Journal:  J Hand Surg Eur Vol       Date:  2014-01-08

3.  Extravasation injuries in the upper extremity.

Authors:  T S Loth; W W Eversmann
Journal:  Clin Orthop Relat Res       Date:  1991-11       Impact factor: 4.176

4.  Extravasation injuries.

Authors:  D T Gault
Journal:  Br J Plast Surg       Date:  1993-03

Review 5.  Identification of highly concentrated dextrose solution (50% dextrose) extravasation and treatment--a clinical report.

Authors:  Sarah L Lawson; William Brady; Ahmed Mahmoud
Journal:  Am J Emerg Med       Date:  2013-04-18       Impact factor: 2.469

6.  Compartment syndrome due to extravasation of peripheral parenteral nutrition: extravasation injury of parenteral nutrition.

Authors:  Huee Jin Park; Kyung Hoon Kim; Hyuk Jin Lee; Eui Cheol Jeong; Kee Won Kim; Dong In Suh
Journal:  Korean J Pediatr       Date:  2015-11-22

Review 7.  Treating extravasation injuries in infants and young children: a scoping review and survey of UK NHS practice.

Authors:  Mark Corbett; David Marshall; Melissa Harden; Sam Oddie; Robert Phillips; William McGuire
Journal:  BMC Pediatr       Date:  2019-01-07       Impact factor: 2.125

8.  Clinical practice guideline on the prevention and management of neonatal extravasation injury: a before-and-after study design.

Authors:  Kam Ming Chan; Janita Pak Chun Chau; Kai Chow Choi; Genevieve Po Gee Fung; Wai Wa Lui; Meme Suk Ying Chan; Suzanne Hoi Shan Lo
Journal:  BMC Pediatr       Date:  2020-09-23       Impact factor: 2.125

  8 in total

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