Posted January 8, 200718 yr comment_286 Do you have experience on lipid extravasation in preterms? Emergency interventions? Prognosis?
January 12, 200718 yr We connect both electrolyte/aminoacids/glucose and lipids to the same line. If the we have extravasation of the TPN we take the infusion and canula away, but we do no emergency interventions besides that. I come to think of two preterms with skin necrosis after TPN extravasation; one necrosis was located on the volar side of the hand and this child finally had surgery to cover the skin necrosis. The other child had a smaller necrosis on the foot which resolved without specific treatment. Would be interested to hear more experience about this issue!
January 25, 200718 yr Extravasation of TPN is a problem in our unit. We try to use central lines (longlines) but sometimes it is not possible to have a central line. When we experience extravasated lipids we take out the i.v. line and try to press out as much of the lipids that is possible. Necrosis is a problem and sometimes we have to use skin transplants because of necrosis, but it is only few infants. Jes Reinholdt Rigshospitalet Copenhagen
August 2, 200717 yr comment_699 We inject saline in 0.1ml increments around the infiltrate to dilute the infusant. We have had good success with this. We have also used Wydase in the past.
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