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#1
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10-21-2013, 01:33 PM
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 ♚ Legacy Gold Member ♚ Poster Rank:34 Female Join Date: Nov 2008 Posts: 43,403
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Extravasation Injuries In Babies
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".  Extravasation injury to hand  Extravasation injury to foot  Extravasation injury to leg  Extensive extravasation injury on lower leg  Extravasation injury in glove containing hydrogel  Extravasation injury dressed with a boot made from a urine bag  Application of hydrogel using a syringe and quill All healed up well during and following treatment    |
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#2
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10-21-2013, 03:02 PM
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| Your Mothers Nightmare... Poster Rank:411 Male Join Date: Oct 2012 Posts: 2,856 Mentioned: 4 Post(s) Quoted: 1036 Post(s)
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Re: Extravasation Injuries In Babies
:( 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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#3
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10-21-2013, 03:22 PM
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 My Rank: MAJOR Poster Rank:12 Join Date: Jun 2009 Posts: 93,130
Contributions: 226
Mentioned: 91 Post(s) Quoted: 2009 Post(s)
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Re: Extravasation Injuries In Babies
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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#6
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10-23-2013, 03:54 AM
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 My Rank: FIRST SERGEANT Poster Rank:406 Male Join Date: Nov 2009 Posts: 2,963 Mentioned: 18 Post(s) Quoted: 447 Post(s)
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Re: Extravasation Injuries In Babies
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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#8
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10-24-2013, 02:20 AM
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| My Rank: FIRST SERGEANT Poster Rank:406 Male Join Date: Nov 2009 Posts: 2,963 Mentioned: 18 Post(s) Quoted: 447 Post(s)
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Re: Extravasation Injuries In Babies
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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#10
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10-31-2013, 12:57 AM
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| My Rank: PRIVATE Poster Rank:7991 Join Date: Mar 2009 Posts: 22 Mentioned: 0 Post(s) Quoted: 5 Post(s)
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Re: Extravasation Injuries In Babies
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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