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How to Administer Near-Infrared Spectroscopy in Critically ill Neonates, Infants, and Children

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Published on: August 19, 2020

[Iatrogenic burns in neonates].

Kiran C Baran^1,2, Kim L M Gardien¹, Dorotka T Roodbergen¹

¹Rode Kruis ziekenhuis, Beverwijk: Afd. Brandwondencentrum.

Nederlands Tijdschrift Voor Geneeskunde

|August 4, 2021

Summary

Warm elements used for blood draws in newborns can cause serious contact burns. Alternative methods are recommended to prevent these iatrogenic injuries in neonatal infants.

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Area of Science:

Neonatal care
Pediatric burn prevention
Medical device safety

Background:

Traditional methods for neonatal blood withdrawal often involve applying warm elements to extremities.
This practice, while intended to facilitate blood collection, carries a significant risk of iatrogenic contact burns in vulnerable neonates.
Existing medical tools for blood withdrawal are not always prioritized over these older, potentially harmful techniques.

Observation:

A case study details a neonate who sustained an iatrogenic contact burn from a warm element used during blood withdrawal.
The infant required extensive topical treatment and wound care for over a month.
The burn injury resulted in persistent scarring.

Findings:

The use of warm elements for neonatal blood draws is a preventable cause of iatrogenic burns.
Contact burns in neonates can lead to prolonged treatment and long-term scarring.
The incidence of these injuries highlights a gap in adherence to safer blood-draw protocols.

Implications:

Healthcare providers should be made aware of the risks associated with using warm elements for neonatal blood draws.
Alternative, safer methods for neonatal blood withdrawal should be adopted to prevent iatrogenic burn injuries.
Raising awareness and implementing updated protocols can significantly reduce the occurrence of these preventable harm events in neonatal intensive care units.