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Extravasation injuries on regional neonatal units
1Neonatal Medical Unit, St Mary's Hospital, Whitworth Park, Manchester M13 0JH, UK. claire.wilkins@lineone.net
Archives of Disease in Childhood. Fetal and Neonatal Edition
|April 23, 2004
Summary
Extravasation injuries causing skin necrosis affect 38 per 1000 neonates, particularly premature infants receiving parenteral nutrition. Treatments included air exposure, hyaluronidase/saline infiltration, and occlusive dressings.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Dermatology
Background:
- Extravasation injuries are a significant risk in neonatal intensive care.
- Skin necrosis following these injuries presents a serious complication.
- Premature infants are particularly vulnerable due to delicate skin.
Purpose of the Study:
- To determine the prevalence of neonatal extravasation injuries causing skin necrosis.
- To identify risk factors and common treatments for these injuries.
Main Methods:
- A survey of regional neonatal intensive care units was conducted.
- Data on injury prevalence, patient demographics, and treatments were collected.
Main Results:
- The prevalence of extravasation injuries leading to skin necrosis was 38 per 1000 neonates.
- Injuries were most common in infants with gestational age of 26 weeks or less.
- Parenteral nutrition administered via intravenous cannulae was frequently implicated.
Conclusions:
- Neonatal extravasation injuries causing skin necrosis are a notable concern, especially in extremely premature infants.
- Understanding injury patterns and treatments is crucial for improving patient outcomes.
- Further research into preventative strategies and optimized treatment protocols is warranted.