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The management of infantile extravasation injury using maternal platelet-rich plasma
Hyun-Ju Lee1, Soon-Hyo Kwon, Jae-Woo Choi
1Department of Pediatrics, Han-yang University Hospital, Seoul, KoreaDepartment of Dermatology, Seoul National University Bundang Hospital, Gyeonggi, Korea.
Insights
Extravasation injuries in preterm infants can cause tissue necrosis. Maternal platelet-rich plasma (PRP) successfully healed extensive necrosis, suggesting its potential for infant wound management.
Area of Science:
- Neonatal intensive care
- Wound healing
- Regenerative medicine
Background:
- Infusion extravasation is a common adverse event in preterm infants.
- While often minor, some cases lead to severe tissue necrosis and loss.
- Platelet-rich plasma (PRP) is known for its wound healing properties.
Observation:
- A case of extensive tissue necrosis in an infant is presented.
- Maternal PRP was prepared and applied to the affected area.
- The wound healing process was monitored.
Findings:
- The extensive tissue necrosis healed successfully following application of maternal PRP.
- No significant adverse effects were noted during the treatment period.
- This suggests maternal PRP can be effective in managing such wounds.
Implications:
- Maternal PRP may offer a novel, effective treatment for infant wound management.
- This approach could be particularly beneficial in cases of severe extravasation injuries.
- Further research is warranted to confirm the efficacy and safety of maternal PRP in neonates.
Abstract:
Accidental leakage of infusions into surrounding tissue is an adverse event that commonly occurs in preterm infants in the intensive care unit. Although most of these extravasations do not cause severe damage, a small number progress to tissue necrosis, and extensive tissue loss can sometimes occur. Platelet-rich plasma (PRP) consists of a high concentration of platelets in a small volume of plasma and can be prepared easily from peripheral blood. Its wound healing effect is well known. We report the successful healing of extensive tissue necrosis with maternal PRP and suggest that the application of maternal PRP may be an easy and effective treatment option for infant wound management in selected cases that merits further investigation.
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