title: Upper Extremity Peripheral Intravenous Line Infiltration With Concomitant Loss of Pulses Treated With Lipoaspiration: A Case Report.
abstract: Peripheral intravenous cannulation in children is associated with occasional morbidity. We present a case where a large volume of blood, administered through a small peripheral cannula in the antecubital fossa, was found to have extravasated into the soft tissues, causing catastrophic vascular compromise. The expedient removal of the extravasate using a lipoaspiration cannula restored perfusion immediately to the affected limb and negated the need for surgical fasciotomies.
authors.affiliation: From the *Division of Cardiothoracic Anesthesiology and Critical Care Medicine, Department of Anesthesiology, †Division of Plastic, Maxillofacial, and Oral Surgery, Department of Surgery, and ‡Division of Pediatric Anesthesiology, Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
authors.forename: Hassan H
authors.initials: HH
authors.lastname: Amhaz
authors.forename: Kate
authors.initials: K
authors.lastname: Buretta
authors.forename: Edmund H
authors.initials: EH
authors.lastname: Jooste
authors.forename: Kelly
authors.initials: K
authors.lastname: Machovec
authors.forename: Jeffery R
authors.initials: JR
authors.lastname: Marcus
authors.forename: Warwick A
authors.initials: WA
authors.lastname: Ames
mesh_terms: D002406:Catheterization, Peripheral / Q000009:adverse effects*; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous; D008297:Male; D011674:Pulse / Q000379:methods*; D016896:Treatment Outcome; D034941:Upper Extremity / Q000473:pathology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*