title: Infiltration and extravasation: update on prevention and management.
abstract: Infiltration and extravasation are risks of intravenous administration therapy involving unintended leakage of solution into the surrounding tissue. Consequences range from local irritation to amputation. While immediate action using appropriate measures (ie, dilution, extraction, antidotes, and supportive treatments) can decrease the need for surgical intervention, many injuries may be prevented by following established policy and procedures. However, timely surgical intervention, when necessary, can prevent more serious adverse outcomes. Clinicians should be prepared to act promptly when an event occurs. Thorough incident documentation helps determine whether infusion care meets the standard of practice and is a keystone to medicolegal defense.
authors: Cincinnati Children's Hospital, Cincinnati, Ohio 45229, USA. darcy.doellman@cchmc.org
authors: Darcy
authors: D
authors: Doellman
authors: Lynn
authors: L
authors: Hadaway
authors: Leigh Ann
authors: LA
authors: Bowe-Geddes
authors: Michelle
authors: M
authors: Franklin
authors: Jack
authors: J
authors: LeDonne
authors: Lorelei
authors: L
authors: Papke-O'Donnell
authors: Janet
authors: J
authors: Pettit
authors: Lisa
authors: L
authors: Schulmeister
authors: Marc
authors: M
authors: Stranz
mesh_terms: D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000451:nursing* / Q000517:prevention & control*; D006801:Humans; D007262:Infusions, Intravenous / Q000009:adverse effects* / Q000451:nursing*; D012308:Risk Management