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[Treatment protocol for extravasation lesions].

A M Andrés1, L Burgos, J C López Gutiérrez

  • 1Departamento de Cirugía Pediátrica, Hospital Universitario La Paz, Madrid. aneandresmo@hotmail.com

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|January 24, 2007
PubMed
Summary
This summary is machine-generated.

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Tissue extravasation injuries require prompt surgical evaluation and immediate treatment with saline flushing. Severe cases with necrosis benefit from artificial dermis coverage, offering good functional and aesthetic outcomes, especially for premature infants and cancer patients.

Area of Science:

  • Medical Science
  • Surgical Innovation
  • Patient Care

Context:

  • Tissue extravasation injuries are a significant complication in hospitals, particularly with increased survival rates in premature infants and cancer patients.
  • Current treatment often minimizes aggressive intervention, potentially leading to worse outcomes.
  • Review of a specific treatment protocol for extravasation injuries.

Purpose:

  • To evaluate the effectiveness of the Gault tissue protocol and artificial dermis coverage for managing tissue extravasation injuries.
  • To compare outcomes of immediate saline flushing versus delayed surgical intervention.
  • To assess the suitability of these treatments for vulnerable patient populations.

Summary:

  • Fifteen patients with extravasation injuries from parenteral nutrition, calcium salts, or doxorubicin were treated between 1998 and 2004.

Related Experiment Videos

  • Ten patients received immediate Gault protocol treatment (saline flushing), resulting in minimal or no skin loss.
  • Five patients with necrosis underwent debridement and artificial dermis coverage, achieving satisfactory functional and aesthetic results.

    • Impact:

    • Immediate saline flushing (Gault protocol) is effective in preventing severe tissue damage from extravasations.
    • Artificial dermis provides a viable option for managing severe necrosis, yielding good aesthetic and functional results.
    • These treatments are suitable for high-risk populations like premature infants and critical oncology patients, avoiding more complex procedures.