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Peripheral Infiltration and Extravasation Injury Methodology: A Retrospective Study
Brian Odom1, Leah Lowe, Charlotte Yates
1Arkansas Children's Hospital, Little Rock, Arkansas (Dr Yates, Mr Odom); Harding University Physical Therapy Program, Searcy, Arkansas (Mr Odom); University of Central Arkansas, Conway, Arkansas (Drs Yates and Lowe, Mr Odom); and Center for Translational Neuroscience, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Dr Yates). Brian Odom, MS, PT, CWS, is an assistant professor in the physical therapy program at Harding University, where he teaches integumentary, cardiopulmonary, and clinical reasoning. Board certified in wound care, he practices at Arkansas Children's Hospital. His emphasis in wound care focuses on acute trauma, pressure ulcers, and wounds in intensive care units. He is also a PhD student at the University of Central Arkansas. Leah Lowe, PhD, DPT, PT, PCS, is an assistant professor of physical therapy at the University of Central Arkansas. She teaches in the pediatrics course work and is the course director for Physical Therapy Research 1-2. She is a board-certified pediatric clinical specialist and practices at Pediatrics Plus, a specialized pediatric health care provider. Charlotte Yates, PhD, PT, PCS, is an associate professor at the University of Central Arkansas, where she teaches neuroscience, pediatrics, and integumentary. She is a research faculty member at the Center for Translational Neuroscience. A board-certified clinical specialist in pediatrics, Dr Yates practices at Arkansas Children's Hospital. Her emphasis on wound care is acute trauma.
Peripheral infiltration and extravasation injuries in children are serious. This study examined how often these occur and what treatments are used for pediatric patients, aiming to improve care for these common infusion-related issues.
Area of Science:
- Pediatric Nursing
- Infusion Therapy
- Patient Safety
Background:
- Peripheral infiltration involves inadvertent delivery of nonvesicant fluids into surrounding tissue.
- Extravasation refers to vesicant fluid leakage into tissue, posing harm.
- Current literature lacks consensus on best practices for managing pediatric infiltration injuries.
Purpose of the Study:
- To identify the incidence of peripheral infiltration injuries in pediatric patients.
- To examine the various treatment modalities employed for these injuries in children.
- To contribute to establishing best practices for pediatric infiltration management.
Main Methods:
- Retrospective chart review of pediatric patients.
- Data collection on infiltration/extravasation events.
- Analysis of treatment interventions and patient outcomes.
Main Results:
- Specific data on occurrence rates are detailed.
- Commonly used treatments and their perceived effectiveness are analyzed.
- Variability in management approaches was observed.
Conclusions:
- Peripheral infiltration and extravasation are significant concerns in pediatric care.
- Further research is needed to standardize effective treatment protocols.
- Improving management strategies can enhance patient safety and outcomes.
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