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Review Papers

Extravasation Injuries: Current Medical and Surgical Treatment

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Abstract

Background : Extravasation is a devastating complication of intravenous therapy that develops when a drug infiltrates the interstitial tissue surrounding the vein. Due to the uncertain and possibly dramatic outcome, early recognition and adequate treatment with the aid of a standardized protocol are needed.

Methods : A pubmed literature search was conducted and all relevant articles were reviewed for the development of an extravasation treatment protocol.

Results : An overview of current treatment guidelines and clinical experience is provided. The extravasation treatment protocol was implied during 1 year in this university hospital with satisfactory outcome.

Conclusion : Treatment starts with prevention. In case of an established extravasation injury, early recognition, assessment of severity, and treatment with medical and/or surgical therapies are recommended.

Additional information

Notes on contributors

M. Doornaert

M. Doornaert, M.D. Department of Plastic Surgery Ghent University Hospital 2K12C De Pintelaan 185 9000 Gent Tel.: 003293320394 Fax: 003293323899 E-mail: [email protected]

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