Neonatal Extravasation Management With Minimal Incision And Moist Therapy

  • Dewi Damayanti STIKes Panca Bhakti
  • Arif Nurrohman RS. Abdoel Moeloek Lampung
  • Dian Novita RS. Abdoel Moeloek Lampung
  • Novita Verayanti Manalu Universitas Advent Indonesia
  • Budi Antoro Universitas Mitra Indonesia
  • Fitri Yuliastuti STIKes Panca Bhakti

Abstract

Peripheral Intravenous Catheter (IVP) is the most widely used vascular access device for the administration of Total Parenteral Nutrition (TPN) and drugs in hospitalized neonates. However, 95% of peripheral intravenous catheters are removed due to complications. Extravasation is one of the most disastrous complications of the fragile skin of the neonate. This study reviews aspects of extravasation injury, from the cellular level to the role of vesicants in vascular injury and their role in triggering inflammation and even necrosis. Knowledge of extravasation management is needed in neonates—in addition, nursing actions to deal with extravasation are based on evidence-based practice, using minimal incisions and moist therapy. This research is a quantitative research with a case study approach. The nurse uses Millan's extravasation wound staging to observe the development of staging. The interventions performed were IVP removal, disinfection with chlorhexidine alcohol, a minimum incision of +/- 1cm in the subcutaneous area at the IVP insertion area, gentle pressure to remove the TPN fluid, followed by a moist gauze compress of 0.9% NaCl (Moist Therapy) and elevation. Four hours later, reperfusion improved, swelling reduced, leg was warm, and skin color returned to normal (Stage 2, Stage extravasation injury from Millan). After three days, the wound started to heal, closing without necrotic tissue. Minimal incision and moist therapy are more effective than aspiration in treating extravasation in neonates.

Published
2023-07-27
How to Cite
DAMAYANTI, Dewi et al. Neonatal Extravasation Management With Minimal Incision And Moist Therapy. International Health Conference STIKes Panca Bhakti (IHCPB), [S.l.], v. 1, n. 1, p. 76 - 85, july 2023. Available at: <https://ejournal.pancabhakti.ac.id/index.php/ihcpb/article/view/246>. Date accessed: 15 july 2024.