Severe Extravasation Injuries in Neonates: A Report of 34 Cases
| Autor: | Dimitrios Dionyssiou, Sotirios Ioannidis, M.B.A. Ilias Chatziioannidis M.D., Antonios Tsimponis, Nikolaos Kostogloudis, Nikolaos Nikolaidis, Efterpi Demiri |
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| Rok vydání: | 2015 |
| Předmět: |
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medicine.medical_specialty Soft Tissue Injuries medicine.medical_treatment Birth weight Iatrogenic Disease Dermatology Risk Assessment Severity of Illness Index Skin Diseases Cohort Studies Intensive Care Units Neonatal Catheterization Peripheral Medicine Edema Humans Saline Retrospective Studies Wound Healing business.industry Incidence Infant Newborn Gestational age Retrospective cohort study Infant Low Birth Weight Extravasation Surgery Low birth weight Parenteral nutrition Treatment Outcome Pediatrics Perinatology and Child Health Gestation Female medicine.symptom business Infant Premature Extravasation of Diagnostic and Therapeutic Materials |
| Zdroj: | Pediatric dermatology. 32(6) |
| ISSN: | 1525-1470 |
| Popis: | Introduction 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. Material and Methods In the present study we reviewed 34 cases of severe extravasation injuries occurring in 1,409 neonates hospitalized in a single neonatal unit over 24 months (incidence 2.4%). Total parenteral nutrition solutions were involved in most cases. All patients were treated within 30 minutes after the injury was recorded using a flush-out technique with normal saline irrigation and occlusive paraffin dressings of the infiltrated area. Results The majority of injuries affected preterm, low-birthweight infants (mean gestation 32 wks + 6 days, mean birth weight 1,885 g), with a mean age at the time of injury of 11.6 days and a mean weight of 2,045 g. Neither gestational age (p = 0.87) or birthweight significantly affected (p = 0.07) the incidence of extravasation injuries, although the incidence of skin necrosis had a significant correlation with gestational age (p = 0.009) and birthweight (p |
| Databáze: | OpenAIRE |
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