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Extravasation injuries: current medical and surgical treatment
M Doornaert1, S Monstrey, N Roche
1Plastic and Reconstructive Surgery, University Hospital Ghent, Belgium. Maarten.Doornaert@Ugent.be
Background:
Extravasation is a devastating complication of intravenous therapy that develops when a drug infiltrates the interstitial tissue surrounding the vein. Due to the uncertain and possibly dramatic outcome, early recognition and adequate treatment with the aid of a standardized protocol are needed.
Methods:
A pubmed literature search was conducted and all relevant articles were reviewed for the development of an extravasation treatment protocol.
Results:
An overview of current treatment guidelines and clinical experience is provided. The extravasation treatment protocol was implied during 1 year in this university hospital with satisfactory outcome.
Conclusion:
Treatment starts with prevention. In case of an established extravasation injury, early recognition, assessment of severity, and treatment with medical and/or surgical therapies are recommended.
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