Upper Extremity Peripheral Intravenous Line Infiltration With Concomitant Loss of Pulses Treated With Lipoaspiration: A Case Report.

A A Case Rep

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.

Published: November 2016

AI Article Synopsis

  • Peripheral intravenous cannulation in children can lead to serious complications, such as fluid leakage into surrounding tissues.
  • In a specific case, a large volume of blood given through a small cannula resulted in significant tissue damage and loss of blood flow to the limb.
  • Rapid intervention using a lipoaspiration technique effectively removed the extravasated fluid, preventing the need for more invasive surgical procedures.

Article 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.

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Source
http://dx.doi.org/10.1213/XAA.0000000000000381DOI Listing

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