IV Infiltration and Complications; Post-Operative Hemorrhages; Post-Operative Respiratory Failure; Post-Surgery Infections; Stevens Johnson Syndrome; Surgical Staple Injuries; Contaminated Injections; Intubation Complications; Laser Spine Surgery Malpractice; Medical Negligence; Other Malpractice; Post-Operative Vision Loss; Surgical Positioning Errors Potassium ≥ 60 mEq/L If you are concerned an IV is infiltrated, follow your facility policy and as a general guideline, discontinue the site and relocate the IV. Although IV therapy is widely used for treatment due to its efficiency, complications can arise and lead to serious harm. Delivering drugs or fluids directly into the vein is a fast and effective way to administer medications to a patient. Plaintiffs can typically recover payments for medical care, lost wages, rehabilitation costs, pain and suffering, and any other losses arising from the malpractice. IV infiltrations and extravasations occur when fluid leaks out of the vein into surrounding soft tissue. Well-recognized vesicants with multiple citations and reports of tissue damage upon extravasation Calcium chloride Calcium gluconate Contrast media – nonionic Dextrose concentration ≥ 12.5% Dobutamine Dopamine Epinephrine Norepinephrine Parenteral nutrition solutions exceeding 900 mOsm/L Phenylephrine Phenytoin Promethazine Sodium bicarbonate Sodium chloride ≥ 3% Vasopressin, Vesicants associated with fewer published reports of extravasation; published drug information and infusate characteristics indicate caution and potential for tissue damage Muscles in the patient’s hand, forearm, or lower leg are surrounded by tissue. Call for a free consultation or questions at (410) 889-1850. Peripheral IVs are a common way of delivering IV fluids and medication. 1Helm, R. E., Klausner, J.D., Klemperer, J.D., Flint, L.M., and Huang, E. (2015). Arginine Permanent Nerve Damage. Nerve damage from IV insertion is relatively rare. New York, Pennsylvania, and Virginia, plus the District of Columbia. Phenobarbital sodium Although IV therapy is widely used for treatment due to its efficiency, complications can arise and lead to serious harm. Your clinician will likely do the following: ivWatch’s non-invasive technology uses advanced optics to continuously monitor the tissue status of a patient’s IV site. At Arfaa Law Group, we are committed to helping you investigate the cause of your injuries and holding negligent medical professionals accountable for the harm that they cause. INFILTRATION: Leaking of non-irritant IV solution into surrounding tissue. If an infiltration is severe enough, it can cause compartment syndrome and lead to nerve damage. They need to insert IV needles properly, pick the right catheter size, and follow other safety protocols before, during, and after insertion. Be careful not to make any sudden movements during iv insertion and during iv therapy. Check with the doctor about what hygiene products can be used on the area. It occurs when an IV cannula dislodges or perforates the wall of the vein. If you observe a fever and other signs of infection or if swelling or damage gets worse and pain increases, let the clinician know. The IV infiltration can be defined as a complication of the intravenous therapy, with the administered medication infiltrating into the surrounding tissues. When the leaked solution from an infiltration is a vesicant drug—one that causes tissue injury blisters or severe tissue damage—it is referred to as an extravasation. While it often occurs due to a break at the uppermost layer of skin, such as a cut, it may occur as a complication of IV infiltration as well. The medical professional’s breach was a direct cause of IV infiltration and the patient’s resulting injuries. This is termed an infiltration. Timely identification of complications. 700 Tech Center Pkwy, Suite 300, Newport News, VA 23606 1-855-489-2824 | info@ivwatch.com. We're available by phone, email, mail and/or videoconference. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Patients should expect more extensive rehabilitation and healing time.5. Infiltration often is viewed as a natural consequence of routine intravenous therapy. COVID-19 NOTICE: We are still working hard for you. When an IV fails or “goes bad”, there are a variety of complications and side effects that may set in depending on how the IV failed and how long it takes to discover and treat the issue. Pentobarbital sodium This article was reviewed by a team of clinicians for accuracy. Despite being common, IV therapy is not foolproof, and a patient may experience IV infiltration . Dextrose concentration ≥ 10% to 12.5% Swelling at or near the IV site. Medical malpractice occurs when a health care professional causes harm by deviating from the standard of care that a reasonably prudent medical professional in the same specialty would have used in the same situation. It can be caused by puncturing the nerve with the needle when an IV is started, or from compartment syndrome. The medical professional owed the patient a duty of care; The medical professional breached the duty of care owed to the plaintiff; and. Vancomycin hydrochloride, IV infiltrations and extravasations can be caused in a few different ways. While IV therapy is common, it is not 100 percent safe, and IV infiltration and related complications can arise. Complication: Infiltration is a complication caused by infusion of medications … At Arfaa Law Group, our Baltimore IV error lawyer can investigate your case to determine the cause of the injuries. The condition often requires emergency surgery to decompress the affected area. In small children they can also be seen in the foot or scalp. Side Effects Skin Burns, Necrosis and Amputation. According to the Infusion Nurses Society, the first step in reducing the risk of extravasation is to identify and recognize medications and solutions that are associated with tissue damage when the solution escapes from the vascular pathway. These medical professionals should also monitor the patient and look out for signs and symptoms associated with infiltration, such as pain or swelling at the insertion point. Complications from infiltrations and extravasations can include: Compartment syndrome is a painful and dangerous condition caused by pressure buildup from internal bleeding or swelling of tissues. These IV’s are typically inserted into the hand or forearm. Symptoms: Swelling at insertion site or entire limb, pain, sluggish flow rate, discomfort, blanching of surrounding skin. Some patients experience intense pain or burning while others may just feel slight discomfort. The catheter can exit the vein by either backing out from the point of insertion or puncturing through the other side of the vein. The symptoms a patient experiences often depends on the severity and length of the infiltration. Patients expect a certain level of care during a medical procedure. These tissue bands create “compartments.” After infiltration, when too much fluid leaks into the tissue, a patient may experience compartment syndrome. An extremely serious form of infiltration is extravasation, which takes place when the type of medication placed into the vein causes severe tissue damage when it is released outside the vein. Infiltration as an I.V. Best practice interventions to manage complications of IV therapy are upheld. IV failures involving severe complications like extravasation, particularly from chemotherapy drugs, can leave permanent damage, including third-degree burns or necrosis. For example, improper IV administration can lead to: IV infiltration, which occurs when the fluid or medicine that is supposed to go into the vein, leaks out and goes into the surrounding tissue.


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