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Extravasation Injuries In Babies

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Extravasation Injuries In Babies 

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  #1  
Old 10-21-2013, 02:33 PM
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Extravasation - the leakage of intravenous drugs from the vein into the surrounding tissue.

Once an extravasation has occurred, damage can continue for months and involve nerves, tendons and joints. If treatment is delayed, surgical debridement, skin grafting, and even amputation may be the unfortunate consequences.

Neonates and premature babies are particularly at risk of developing extravasation because of the small size of their vessels and the immature structure of their skin.

The current treatment using hydrogel was developed specifically for treating extravasation injuries in the hands or feet of small infants but it can easily be adapted for treating similar injuries in patients of all ages.

The technique to treat such injuries in a tiny baby involves the use of a sterile amorphous hydrogel applied to the affected area in a sterile polythene bag forming a "glove" or "boot".

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Extravasation injury to hand

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Extravasation injury to foot

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Extravasation injury to leg

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Extensive extravasation injury on lower leg

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Extravasation injury in glove containing hydrogel

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Extravasation injury dressed with a boot made from a urine bag

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Application of hydrogel using a syringe and quill

All healed up well during and following treatment
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Old 10-21-2013, 04:02 PM
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:(

I don't like seeing sick infants, I know they are just smaller versions of the adult meatbag but they are more emotive and well they are (as far as we are aware) innocents
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Old 10-21-2013, 04:22 PM
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Because my son was born at just 28 weeks he had those in him all over. Luckily only one went a bit funny as it missed the vein, their veins are sooooo tiny! Nothing like the above though, poor babies.

I remember his skin was almost see-through. Looked like a little old man we said.
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Old 10-21-2013, 08:20 PM
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Welcome to the world. Now here is some PAIN.
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Old 10-22-2013, 01:59 AM
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Anytime I see something that happens to children on this site, my heart just breaks
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Old 10-23-2013, 04:54 AM
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Had to witness my youngest Daughter be treated like a pin cushion three different occasions.
Local hospital took forever trying to get a vein, then they finally sent their pediatrician/phlebotomist/anesthesiologist to get her I.V. in.. She got it on her first try..
(Nurse lady prior had stuck her at least 14 times. and failed to get the vein every time.)
Got sent to an out of town hospital, ambulance took her and I there to the large medical center. My daughter was only 18 days old and this was on my birthday.. (She was born March 1st, my birthday is March 18th. My local hospital couldn't/wouldn't perform a sonogram on her...so sent us an hour away)
The whole time everyone is saying surgery surgery surgery...
In the end, she had a milk protein allergy.
Alimentum Baby formula and life was good again. (She's fine now..drinking whole milk etc. )
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Old 10-23-2013, 05:54 PM
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Quote:
Originally Posted by mintycbo View Post
Had to witness my youngest Daughter be treated like a pin cushion three different occasions.
Local hospital took forever trying to get a vein, then they finally sent their pediatrician/phlebotomist/anesthesiologist to get her I.V. in.. She got it on her first try..
(Nurse lady prior had stuck her at least 14 times. and failed to get the vein every time.)
Got sent to an out of town hospital, ambulance took her and I there to the large medical center. My daughter was only 18 days old and this was on my birthday.. (She was born March 1st, my birthday is March 18th. My local hospital couldn't/wouldn't perform a sonogram on her...so sent us an hour away)
The whole time everyone is saying surgery surgery surgery...
In the end, she had a milk protein allergy.
Alimentum Baby formula and life was good again. (She's fine now..drinking whole milk etc. )
Damn. Great to hear she's come through ok.
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Old 10-24-2013, 03:20 AM
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Quote:
Originally Posted by LadyCPlum View Post
Damn. Great to hear she's come through ok.
Thanks.

She's almost 2 now.. and that Alimentum formula really stinks.. most babies hate it.. My girl loved the stuff.

Drinking whole milk now, eating foods normally.. she even got her teeth early... normal 20 month old girl.
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Old 10-30-2013, 01:45 AM
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Bless her heart and congratulations on your little girl.
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Old 10-31-2013, 01:57 AM
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What i dont get, is the protocol here in Oz is if you cant get a vein in a young infant, swap to Intra-osseous for fluid infusion. much bigger target, and less chance of infiltration injury.
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