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Sensing Technologies for Extravasation Detection: A Review.

Ikue Hirata1, Arianna Mazzotta1,2, Pooyan Makvandi1

  • 1Center for Materials Interfaces, Istituto Italiano di Tecnologia, 56025 Pontedera, Pisa, Italy.

ACS Sensors
|March 13, 2023
PubMed
Summary
This summary is machine-generated.

Extravasation, when a catheter moves outside the vein, can be detected early using new sensorized devices. This review covers physiological and engineering aspects of extravasation detection technologies.

Keywords:
Blood extravasationPIVCbleedingcontrast agentdrug infusioninfiltrationinfrared sensorsintravenous cathetersradiofrequency sensorthermal imagingultrasound sensors

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Area of Science:

  • Medical Devices
  • Biomedical Engineering
  • Clinical Medicine

Background:

  • Peripheral intravenous catheters are crucial for administering fluids, medications, and contrast agents.
  • Extravasation, the unintended leakage of infusates outside the vein, poses a significant risk during catheter use.
  • Causes include catheter dislodgement, increased vascular permeability, and venous occlusion.

Purpose of the Study:

  • To review the mechanisms of extravasation.
  • To highlight sensorized devices for early extravasation detection.
  • To provide an overview of current and emerging technologies from physiological and engineering perspectives.

Main Methods:

  • Literature review of extravasation mechanisms.
  • Analysis of sensorized devices for extravasation detection (single sensor and multimodal).
  • Synthesis of physiological and engineering viewpoints on detection approaches.

Main Results:

  • Extravasation is a complex phenomenon with multiple contributing factors.
  • Various sensor technologies show promise for real-time extravasation detection.
  • Multimodal detection systems may offer enhanced accuracy and reliability.

Conclusions:

  • Early detection of extravasation is critical to minimize patient harm.
  • Advancements in sensor technology are paving the way for improved patient safety.
  • Further research integrating physiological and engineering insights is needed to optimize detection systems.