Neonatal extravasation injuries: neonatal unit reflection and literature review

Suhair Abd Elrahim Othman1, Rawan E Ali2

  • 1Consultant Paediatrician and Neonatologist, Professor of Paediatrics, Red Sea University, Port Sudan, Sudan.

Insights

Neonatal extravasation injuries are common in preterm infants, with over half affected. Significant injuries occurred in 11.2%, highlighting the need for preventative measures in neonatal units.

Area of Science:

  • Neonatal care
  • Pediatric surgery
  • Clinical research

Background:

  • Extravasation injury involves tissue damage from infiltrated drugs or infusates.
  • Preterm infants face heightened susceptibility due to physiological immaturity.

Purpose of the Study:

  • To determine the prevalence of extravasation injury in a neonatal unit.
  • To raise awareness of this significant issue in neonatal care settings.

Main Methods:

  • Observational, longitudinal, hospital-based study.
  • Inclusion of all preterm infants admitted to Sea Port Hospital Neonatal Unit (February 2012-February 2019).
  • Exclusion of infants with congenital or transient skin diseases.

Main Results:

  • Out of 434 preterm infants, 249 (57.4%) experienced extravasation.
  • A significant 11.2% of affected infants sustained severe injuries.

Conclusions:

  • Neonatal extravasation injuries are prevalent and concerning in neonatal units.
  • Implementation of screening, prevention, and treatment strategies is crucial.

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