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Published on: September 12, 2018
Management of extravasation injuries
R J Kumar1, S P Pegg, R M Kimble
1Burns Unit, Royal Clinic Children's Hospital, Brisbane, Queensland, Australia.
ANZ Journal of Surgery
|May 26, 2001
Summary
Conservative management is recommended for intravenous extravasation injuries when possible. Surgical intervention with skin grafting may be necessary for extensive tissue damage, but scar management is crucial for all patients.
Area of Science:
- Medical Science
- Surgical Oncology
- Dermatology
Background:
- Intravenous (IV) extravasation injuries can lead to tissue necrosis.
- Various agents, including medications and solutions, can cause these injuries.
- Management strategies for extravasation injuries vary.
Purpose of the Study:
- To review the management and long-term outcomes of patients with extravasation injuries.
- To identify factors influencing treatment decisions and patient results.
Main Methods:
- A retrospective review of hospital files from three Australian hospitals.
- Identification and analysis of nine patients with extravasation injuries.
- Evaluation of management approaches and follow-up data.
Main Results:
- Injuries occurred in patients aged 17 days to 60 years, caused by diverse solutions.
- Common sites included the feet and hands.
- Four patients underwent delayed debridement and skin grafting; five were managed conservatively.
- Seven patients required prolonged scar management.
- Satisfactory outcomes were achieved with both surgical and conservative treatments.
Conclusions:
- Conservative management is preferred for extravasation injuries when feasible.
- Delayed debridement and split skin grafting are indicated for extensive skin loss.
- Effective scar management is essential.
- Prevention through staff education is the primary goal.
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