12 / 25
Volume 5
Neonatal and Pediatric Medicine
Page 38
conference
series
.com
June 17-18, 2019 Dubai, UAE
Joint Meeting on
2
nd
Annual Conference on
&
Pediatric Nursing and Healthcare
23
rd
World Nutrition & Pediatrics Healthcare Conference
Health Care, Nutrition & Pediatrics Meet 2019
June 17-18, 2019
Management of extravasation
E
xtravasation of medications during Peripheral Intravenous (PIV) therapy can result in harm to pediatric
patients. These medications have physical and/or biologic factors that cause tissue damage. Extravasation
injury is a common phenomenon in hospitals. Failure to detect and treat extravasation injury can lead
to irreversible local injuries, tissue necrosis and malfunction of the affected tissue. Until now, it is largely
unknown about incidence, risk factors and treatment outcomes of extravasation in pediatric patients. The aim
of this presentation is to explore the risk factors, to detect early signs and symptoms of extravasation to react
early with active management. Extravasation injuries are a common and challenging problem in hospitalized
newborns. Accidental infusion leakage into the surrounding tissues in immature infants may frequently result
in skin necrosis, with significant risk of functional and cosmetic impairment. Vesicant extravasation injuries
can occur in patients receiving chemotherapy despite best efforts to prevent them. Most extravasation injuries
are of Grades 1 & 2 and do not require extensive intervention to prevent long-term skin and soft tissue damage
Grade 3 & 4 injuries have a greater potential for skin necrosis, compartment syndrome and need for future
plastic surgery, depending on the type of solution extravasated. Evidence suggests hyaluronidase irrigation for
parenteral nutrition and calcium chloride extravasation is beneficial. The patients` information including age,
gender, injection site, estimated volume of solution extravasated, patient symptoms, severity of extravasation
injury, treatment methods, and outcomes must be documented . All extravasations are treated with physical,
pharmacological and surgical intervention according to the grade of injuries in the most severe cases plastic
surgeons are often summoned to assess the extent of the injury and the possibility for reconstruction. Systematic
implementation of intervention can alleviate the extravasation injuries and improve the patients` outcome.
Learning Objective
This presentation will highlighted on
Ricks factors of extravasation and how to avoid it
Medications may cause extravasation
Grads of extravasation
Evaluation the signs and symptoms of a vesicant extravasation
Documentations of extravasation progress and action of management and outcome
Administer the FDA-approved vesicant extravasation treatments and antidotes.
Antidote preparation and administration instruction
Follow up patients with extravasation after management
Nasser Mohamed
Sheikh Khalifa Medical City, UAE
Nasser Mohamed, Neonat Pediatr Med 2019, Volume 5