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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

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[Emergency management of extravasation in children]

L Pasquesoone1, N Aljudaibi1, J Ellart1

  • 1Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brûlés, hôpital Roger-Salengro, CHRU, rue Emile-Laine, 59037 Lille cedex, France.

Annales De Chirurgie Plastique Et Esthetique
|September 12, 2016
PubMed

Insights

Extravasation, or subcutaneous infusion of IV fluids, is a common complication in neonates. Prompt medical and surgical intervention significantly reduces severe outcomes like tissue necrosis and functional impairment.

Area of Science:

  • Pediatric Medicine
  • Neonatal Care
  • Surgical Complications

Background:

  • Extravasation of intravenous (IV) fluids is a frequent iatrogenic complication in children, particularly during the neonatal period.
  • This condition can lead to severe local ischemia, compartment syndrome, and extensive soft-tissue necrosis.
  • The long-term functional, aesthetic, and psychological consequences are often underestimated by healthcare professionals.

Purpose of the Study:

  • To highlight the risks and consequences of IV extravasation in pediatric patients.
  • To emphasize the importance of timely and appropriate medical and surgical management.
  • To underscore the critical role of prevention through staff training and protocol development.

Main Methods:

  • Review of clinical presentation and management strategies for pediatric IV extravasation.
  • Discussion of early surgical interventions, including aspiration and site irrigation.
  • Consideration of management for severe cases involving vesicant agents and necrotic lesions.

Main Results:

  • Early and effective medical and surgical management can significantly decrease morbidity.
  • Surgical intervention, such as aspiration and washing, improves prognosis, especially with vesicant agents.
  • Delayed debridement and coverage are recommended for delimited necrotic lesions.

Conclusions:

  • Prompt management of IV extravasation is crucial for minimizing complications in children.
  • Prevention through staff education and standardized protocols is fundamental.
  • Surgical techniques, tailored to severity, enhance patient outcomes and reduce long-term sequelae.

Keywords:
Cutaneous necrosisExtravasationIschémie tissulaireNécrose cutanéePrise en charge chirurgicaleSoft-tissue ischemiaSurgical coverageTraitementTreatment

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