Accidental infusion leakage at subgalea in infants: report of 6 cases

Bo An1, Haojie Ning2

  • 1Department of Emergency, Women and Children's Hospital Foshan, China.

Insights

Infusion infiltration in infants can cause iatrogenic injury. Prompt topical treatment with wet-hot compresses and mucopolysaccharide polysulfate (MPS) cream effectively prevented skin impairment in six infant cases.

Area of Science:

  • Pediatric Medicine
  • Neonatal Care
  • Iatrogenic Injury Management

Background:

  • Infiltration is a frequent iatrogenic injury in infant care.
  • Accidental infusion leakage can lead to significant complications in neonates.
  • Subgaleal infiltration presents a specific clinical challenge in pediatric patients.

Purpose of the Study:

  • To report on the management and outcomes of subgaleal infiltrations in infants.
  • To evaluate the efficacy of wet-hot compresses and topical mucopolysaccharide polysulfate (MPS) cream.
  • To emphasize the importance of early recognition and intervention for infusion-related injuries.

Main Methods:

  • Case series of 6 infants experiencing accidental infusion leakage in the subgalea.
  • Application of wet-hot compresses using sterile gauze.
  • Topical administration of mucopolysaccharide polysulfate (MPS) cream post-compress.

Main Results:

  • All 6 infants treated with the described method showed no signs of skin impairment.
  • The combined therapy of wet-hot compresses and MPS cream was effective in preventing local tissue damage.
  • No adverse events were reported following the intervention.

Conclusions:

  • Early recognition of infusion infiltration is critical in infant care.
  • Topical management with wet-hot compresses and MPS cream is a safe and effective strategy for subgaleal infiltrations.
  • Prompt and appropriate care can significantly minimize the extent of accidental infusion leakage injuries in neonates.