How to treat a severe transfusion extravasation with lipoaspiration

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The expedient removal of the extravasate using a lipoaspiration cannula restored perfusion immediately to the affected limb and negated the need for surgical fasciotomies” Amhaz et al (2016).

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.

Reference:

Amhaz, H.H., Buretta, K., Jooste, E.H., Machovec, K., Marcus, J.R. and Ames, W.A. (2016) Upper Extremity Peripheral Intravenous Line Infiltration With Concomitant Loss of Pulses Treated With Lipoaspiration: A Case Report. A & A Case Reports. August 22nd. [Epub ahead of print].

DOI: 10.1213/XAA.0000000000000381

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