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Extravasation is the leakage of intravenously (IV) infused, and potentially damaging, medications into the extravascular tissue around the site of infusion. The leakage can occur through brittle veins in the elderly, through previous venipuncture access, or through direct leakage from wrongly positioned venous access devices.
During leukocyte extravasation, white blood cells move in response to cytokines from the blood into diseased or infected tissues, usually in the direction of a chemical gradient, [1] in a process called chemotaxis. The presence of lymphocytes in tissue in greater than normal numbers is likewise called infiltration.
Infection, phlebitis, extravasation, infiltration, air embolism, hemorrhage (bleeding) and formation of a hematoma (bruise) may occur. A catheter embolism may occur when a small part of the cannula breaks off and flows into the vascular system. When removing a peripheral IV cannula, the tip should be inspected to ensure it's intact.
Pain or burning along the length of the vein; Vein being hard and cord-like [2] There is usually a slow onset of a tender red area along the superficial veins on the skin. A long, thin red area may be seen as the inflammation follows a superficial vein. This area may feel hard, warm, and tender. The skin around the vein may be itchy and swollen.
Extravasation is the leakage of a fluid out of its contained space into the surrounding area, especially blood or blood cells from vessels. In the case of inflammation , it refers to the movement of white blood cells through the capillary wall , into the surrounding tissues.
Intravenous injections may also cause phlebitis, especially when multiple injections are given in a vein over a short period of time. [40] Infiltration and extravasation may also occur when a medication intended to be injected into a vein is inadvertently injected into surrounding tissues. [41]
Blood thinners, Pain medication [1] Thrombophlebitis is a phlebitis ( inflammation of a vein ) related to a thrombus (blood clot). [ 2 ] When it occurs repeatedly in different locations, it is known as thrombophlebitis migrans ( migratory thrombophlebitis ).
Neutrophils extravasate from blood vessels to the site of tissue injury or infection during the innate immune response.. In immunology, leukocyte extravasation (also commonly known as leukocyte adhesion cascade or diapedesis – the passage of cells through the intact vessel wall) is the movement of leukocytes (white blood cells) out of the circulatory system (extravasation) and towards the ...