Peripheral intravenous therapy is usually innocuous, but skin necrosis can result when gross extravasation occur.
These adverse sequelae are seen infrequently in the adult patient, but in newborns and young children, they may be catastropic.
The purpose of this study in to reveal the agents and locations of skin necrosis, and to evaluate the results of therapeutic management..
During the period from March 1,1981 through February 28, 1983, the children who had taken intravenous fluid therapy in our hospital were reviewed.
The results are summarized as follows.
1. There was 1,275 extravasation patients among 3,290 intravenous fluid treated children patients during a 2-year period.
2. The frequent locations of skin necrosis were scalp, dorsum of foot, and dorsum of hand in descending order, but the most frequent locations of skin necrosis to the extravasation in rate were dorsum of foot, sole, and wrist.
3. The frequent agents of skin necrosis were cloxacillin, sod. bicarbonate, and cal. gluconate in descending order, but the most frequent agents of skin necrosis to the extravasation in rate were epinephrine, cal. gluconate. sod gluconate, sod. bicarbonate.
4. Authors found no disernible differences in the healing time among the 3 different methods of treatment used.(saline, sofra-tulle, povidone-iodine)
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