Succesful treatment of extravasation injury with topical heparinoid in a pediatric patient

Extravasation is unintentional drug administration or leakage to perivascular space, subcutaneous tissues during intravenous drug administration. It is one of the common complications, which is seen in many patients admitted to pediatric intensive care unit for long-term, and received multiple drug support. Pain, erythema and swelling can be observed when vesicant agents leak to extra-vascular space. Irritant agents can cause burning sensation and pain when extravasation occurs or by leading irritation at vessel wall before or at onset of extravasation. It may lead inflammation which can progress to phlebitis without necrosis (1-6). Here, we presented extravasation from total parenteral nutrition solution in an infant with mitochondrial disorder with poor general status who had been followed in pediatric intensive care unit. We achieved recovery without sequel in this patient by local heparinoid treatment.