Chemical Burn by Sodium Bicarbonate Extravasation due to Accidental Venous Puncture during Arterial Cannulation

• 영문명: Chemical Burn by Sodium Bicarbonate Extravasation due to Accidental Venous Puncture during Arterial Cannulation
• 발행기관: 조선대학교 의학연구원
• 저자명: Sang Hun Kim Ji Ho Song Ki Tae Jung
• 간행물 정보: 『The Medical Journal of Chosun University』제43권 제1호, 22~24쪽, 전체 3쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2018.04.03

영문 초록

Extravasation is the accidental injection or leakage of fluid into the subcutaneous or perivascular tissues. Some drugs can cause serious injury such as severe tissue injury, necrosis, and etc. Here we report a case of chemical burn by sodium bicar-bonate extravasation due to accidental venous puncture during arterial cannulation. A 42-years-old woman has taken emer-gency laparotomy surgery due to a stab wound to the abdomen. Massive blood loss has developed, and consequently vital signs were unstable and metabolic acidosis has developed. Sodium bicarbonate has administered via a peripheral intravenous line on the dorsal vein of a right hand that runs to the cephalic vein. However, the cephalic vein that runs by the side of the radial artery has punctured accidentally during the attempt of right radial artery cannulation. Second degree superficial and deep chemical burn by sodium bicarbonate extravasation has developed. Skin lesion about 3 × 4 cm² with erythema and bullae formation has developed. There were no necrotic changes and the digital sensation was intact. Wet dressing and sili-con foam dressing were prescribed. After two weeks, she was discharged. Until then, dermis exposure about 1 × 1 cm² re-mained although the skin lesions became getting well.

목차

Introduction

Case report

Discussion

키워드

Cannulation Chemical burn Extravasation Radial artery Sodium bicarbonate