Saline irrigation for the management of skin extravasation injury in neonates

Gopalakrishnan, P N; Goel, Nitin; Banerjee, Sujoy

doi:10.1002/14651858.cd008404.pub2

Cited by 15 publications

(15 citation statements)

References 24 publications

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“…Accurate case selection is vital. Using a staging system (Table 1) is used by over half of the units in this survey, and the practice is referenced in numerous previous papers [1,17,18]. This allows protocols to be devised which guide treatment based on injury severity.…”

Section: Discussionmentioning

confidence: 99%

Neonatal extravasation injury: prevention and management in Australia and New Zealand-a survey of current practice

et al. 2013

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BackgroundExtravasation injury remains an important cause of iatrogenic injury in neonatal intensive care. This study aims to describe the current approach to extravasation injury (EI) prevention and management in Neonatal Intensive Care Units (NICUs) in Australia and New Zealand.MethodsA literature review regarding extravasation injury in the newborn was carried out to inform questionnaire design. An internet-based survey was then conducted with the clinical directors of the 27 tertiary NICUs in Australia and New Zealand.ResultsThe survey received a 96% response rate. Approximately two thirds of Australian and New Zealand NICUs have written protocols for prevention and management of extravasation injury. Considerable practice variation was seen for both prevention and treatment of EI. 92% of units had experienced cases of significant EI.ConclusionsAustralian and New Zealand tertiary neonatal units clearly recognise EI as an important cause of iatrogenic morbidity and mortality. Significant variation still exists among units with regards to guidelines for both prevention and management of EI. We recommend that neonatal staff should remain vigilant, ensuring that guidelines for the prevention and treatment of EI are available, and rigorously followed.

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Section: Discussionmentioning

confidence: 99%

Neonatal extravasation injury: prevention and management in Australia and New Zealand-a survey of current practice

et al. 2013

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“…We identified one Cochrane Database systematic review on saline irrigation for neonatal extravasations. The review was inconclusive, given the lack of any eligible studies (Gopalakrishnan et al, 2012). Four controlled animal experiments were retrieved (Coleman et al, 1983;Dorr et al, 1996;Laurie et al, 1984;Loth, 1986).…”

Section: Introductionmentioning

confidence: 99%

Extravasation injuries: a review

Goutos

Cogswell

Giele

2014

J Hand Surg Eur Vol

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Extravasation injuries are common emergencies in clinical practice. If they are not recognized and treated promptly, they can lead to deleterious functional and cosmetic outcomes. There is a vast range of agents involved in these injuries and marked paucity of evidence to support their specific management. Following an extensive literature review, we outline management principles for clinicians involved in the care of patients with extravasation injuries. Key parameters in deciding appropriate management plans include the volume/toxicity of the agent, the necrosis interval of the injury, patient-related factors, as well as the facilities and expertise available in the setting of individual cases of extravasation.

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“…These findings reflect those of Gopalakrishnan et al . () who when attempting to undertake a Cochrane Review on the management of skin extravasation injury in neonates, could source only case reports and case series describing successful outcomes with different interventions.…”

Section: Appraisal Of the Literaturementioning

confidence: 99%