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Related Experiment Videos

Effect of elevation on intravenous extravasations

C B Yucha, M Hastings-Tolsma, N M Szeverenyi

    Journal of Intravenous Nursing : the Official Publication of the Intravenous Nurses Society
    |September 1, 1994
    PubMed
    Summary
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    Elevation did not improve pain or swelling from intravenous fluid extravasations (infiltrations). Current treatments like warmth, cold, or elevation show no overall superiority in managing these common nursing concerns.

    Area of Science:

    • Nursing
    • Pharmacology
    • Medical Imaging

    Background:

    • Intravenous extravasation (infiltration) is a common complication.
    • Standard nursing interventions include warmth, cold, elevation, or no treatment.

    Purpose of the Study:

    • To evaluate the effect of limb elevation on intravenous extravasations.
    • To compare elevation's efficacy against existing treatments.

    Main Methods:

    • Intentionally induced infiltrations of 0.45% sodium chloride and 3% saline in healthy volunteers.
    • Quantification of pain, induration surface area, and infiltrate volume using magnetic resonance imaging.
    • Comparison with published data on warmth and cold therapy.

    Main Results:

    Related Experiment Videos

  • Elevation demonstrated no significant effect on pain.
  • Elevation did not reduce the surface area of induration.
  • Magnetic resonance imaging showed no difference in remaining infiltrate volume with elevation.
  • No single treatment (warmth, cold, elevation) is definitively superior.
  • Conclusions:

    • Limb elevation is not an effective intervention for reducing symptoms or speeding re-absorption of intravenous extravasations.
    • Current evidence suggests no single nursing intervention is universally superior for managing extravasations.