Extravasation - The dangers of a perivenous perfusion in the new-born
Extravasation is a major complication in the treatment of new-borns. Without high standards in the follow-up, these lesions can induce serious functional, aesthetic and psychological sequelae. The prevention and treatment of its occurrence are nonetheless possible: adequate protocols and continuous training make it possible to reduce their prevalence and to mitigate the consequences.
Perivenous perfusion, Extravasation, Skin necrosis
Context and objectives
In neonatology, 0.5 to 6% of new-borns are victim of cutaneous consequences related to extravasation of perfusion products. These disorders range from simple inflammation to cutaneous necrosis. In the operational hospital setting of the TVC Medical hospital in Kinshasa, the author was confronted with a case of extravasation. A successful treatment with a multidisciplinary approach has been achieved (see https://www.tvcmedical.com/post/extravasation-vacuum-assisted-closure).
Based on this successfully treated case, it was possible to develop a protocol of care for the surgical, medical and nursing teams. A continuing education program has also been developed to reduce the prevalence of this complication.
The results were obtained by combining a surgical approach complemented by negative pressure treatment and appropriate wound care.
Extravasation is a major complication in the treatment of new-born wounds. The prevention of its occurrence by the development of clear protocols and continuous training will reduce the prevalence or, where appropriate, the duration of the treatment.