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. 2013 Mar 11:13:34.
doi: 10.1186/1471-2431-13-34.

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

Matthew Restieaux  1 , Andrew Maw, Roland Broadbent, Pam Jackson, David Barker, Ben Wheeler
Affiliations

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

Matthew Restieaux et al. BMC Pediatr. .

Abstract

Background: Extravasation 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.

Methods: A 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.

Results: The 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.

Conclusions: Australian 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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References

    1. Ramasethu J. Pharmacology Review Prevention and Management of Extravasation Injuries in Neonates. NeoReviews. 2004;5(11):e491–e497. doi: 10.1542/neo.5-11-e491. - DOI
    1. Gault DT. Extravasation injuries. Br J Plast Surg. 1993;46(2):91–96. doi: 10.1016/0007-1226(93)90137-Z. - DOI - PubMed
    1. Phillips RA. Deep dopamine extravasation injury: a case report. J Plast Reconstr Aesthet Surg. 2009;62(7):e222–e224. doi: 10.1016/j.bjps.2008.11.064. - DOI - PubMed
    1. Cartlidge P, Fox P, Rutter N. The scars of newborn intensive care. Early Hum Dev. 1990;21(1):1–10. doi: 10.1016/0378-3782(90)90105-R. - DOI - PubMed
    1. Wilkins C, Emmerson A. Extravasation injuries on regional neonatal units. Arch Dis Child Fetal Neonatal Ed. 2004;89(3):F274–F275. doi: 10.1136/adc.2003.028241. - DOI - PMC - PubMed

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