Extravasation
Last modified: 03 December 2021, 5:42:57 PM AEDT
Management1 / 2
- Existing IVC
- Stop infusion
- Aspirate as much as possible
- Elevate area
- Apply warm compress for 48 hours = vasoD = ⬆BQ and removal
- Establish substitute IV access
- resume vasopressors / infusions
- Consult surgical = plastics / vascular
- Reversal
- Consider phentolamine = non-selective alpha-blocker
- 0.1-0.2 mg/kg SC
- Topical GTN 2%
- B2-agonist = terbutaline
- Consider phentolamine = non-selective alpha-blocker
- Washout
Anaesthetic considerations2 / 2
- Pre-op
- Intra-op
- Post-op