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Extravasation Wound Care Management: A Case study in Infant

Jerry Fahrain, Rahmayani, Kharisma Pratama, Wida Kuswida Bhakti, Suriadi

Introduction: Extravasation wound is the leakage of drugs or fluids into the subcutaneous tissue from the veins or vascular tissue, mainly causing tissue damage. Extravasation wound events involve severe complications, such as the progression of a relatively mild wound (tissue edema, redness, or vasculitis) to skin necrosis or an abscess. Here study, Extravasation wound care management with autolysis debridement on eschar or slough tissue applied to promote the wound healing. This study was to evaluate the effectiveness of hydrogel and alginate for the treatment of extravasation wounds in an infant. Method: the study applied hydrogel and alginate dressing. The nurse applied hydrogel and alginate as a primary dressing and covered them with minimal absorbent as a secondary dressing. The nurse used the Bates-Jansen Wound Assessment Tool (BJWAT) to observe the wound progress. Result: two weeks following the treatment, necrotic tissue was autolyzed. The granulation tissue looked abundant, signs of inflammation and slough were reduced, and the wound was healed completely. Conclusion: The BJWAT showed the score was decreased. It means that the autolysis debridement by using gel and alginate is effectively reducing slough necrotic tissues and promote the wound healing process.