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Upper limb extravasation injury following remifentanil infusion at the limb covered with adhesive wrapping for hypothermia prevention during anesthesia of pediatric patient

We reported on a case involving a 41-day-old baby girl with a recurrent left supraglottic cyst and mild laryngomalacia who was scheduled for direct laryngoscopy and re-marsupialization. She sustained an extravasation injury following a remifentanil infusion during anesthesia, which was identified af...

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Main Authors: Mohamad Azlan Awang, Wan Mohd Nazaruddin Wan Hassan, Yusrina Zahari, Wan Azman Wan Sulaimana
Format: Article
Language:English
English
Published: Bali Journal of Anesthesiology 2023
Subjects:
RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
RJ1-570 Pediatrics
Online Access:https://eprints.ums.edu.my/id/eprint/36059/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/36059/2/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/36059/
https://doi.org/10.4103/bjoa.bjoa_39_23
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spelling my.ums.eprints.360592023-07-21T06:45:45Z https://eprints.ums.edu.my/id/eprint/36059/ Upper limb extravasation injury following remifentanil infusion at the limb covered with adhesive wrapping for hypothermia prevention during anesthesia of pediatric patient Mohamad Azlan Awang Wan Mohd Nazaruddin Wan Hassan Yusrina Zahari Wan Azman Wan Sulaimana RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens RJ1-570 Pediatrics We reported on a case involving a 41-day-old baby girl with a recurrent left supraglottic cyst and mild laryngomalacia who was scheduled for direct laryngoscopy and re-marsupialization. She sustained an extravasation injury following a remifentanil infusion during anesthesia, which was identified after the completion of surgery and the removal of surgical draping. The use of adhesive wrapping over the affected peripheral limbs to prevent hypothermia might have aggravated the ongoing extravasation injury. Immediate multidisciplinary management involving orthopedic and plastic reconstructive surgeries facilitated the smooth recovery of the patient. This case highlights the potential inadvertent complications that can arise intraoperatively during a continuous infusion of remifentanil in pediatric patients, as well as the aggravating factor of adhesive wrapping. Bali Journal of Anesthesiology 2023-05 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/36059/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/36059/2/FULL%20TEXT.pdf Mohamad Azlan Awang and Wan Mohd Nazaruddin Wan Hassan and Yusrina Zahari and Wan Azman Wan Sulaimana (2023) Upper limb extravasation injury following remifentanil infusion at the limb covered with adhesive wrapping for hypothermia prevention during anesthesia of pediatric patient. Bali Journal of Anesthesiology, 7. pp. 114-116. ISSN 2549-2276 https://doi.org/10.4103/bjoa.bjoa_39_23
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
English
topic RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
RJ1-570 Pediatrics
spellingShingle RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
RJ1-570 Pediatrics
Mohamad Azlan Awang
Wan Mohd Nazaruddin Wan Hassan
Yusrina Zahari
Wan Azman Wan Sulaimana
Upper limb extravasation injury following remifentanil infusion at the limb covered with adhesive wrapping for hypothermia prevention during anesthesia of pediatric patient
description We reported on a case involving a 41-day-old baby girl with a recurrent left supraglottic cyst and mild laryngomalacia who was scheduled for direct laryngoscopy and re-marsupialization. She sustained an extravasation injury following a remifentanil infusion during anesthesia, which was identified after the completion of surgery and the removal of surgical draping. The use of adhesive wrapping over the affected peripheral limbs to prevent hypothermia might have aggravated the ongoing extravasation injury. Immediate multidisciplinary management involving orthopedic and plastic reconstructive surgeries facilitated the smooth recovery of the patient. This case highlights the potential inadvertent complications that can arise intraoperatively during a continuous infusion of remifentanil in pediatric patients, as well as the aggravating factor of adhesive wrapping.
format Article
author Mohamad Azlan Awang
Wan Mohd Nazaruddin Wan Hassan
Yusrina Zahari
Wan Azman Wan Sulaimana
author_facet Mohamad Azlan Awang
Wan Mohd Nazaruddin Wan Hassan
Yusrina Zahari
Wan Azman Wan Sulaimana
author_sort Mohamad Azlan Awang
title Upper limb extravasation injury following remifentanil infusion at the limb covered with adhesive wrapping for hypothermia prevention during anesthesia of pediatric patient
title_short Upper limb extravasation injury following remifentanil infusion at the limb covered with adhesive wrapping for hypothermia prevention during anesthesia of pediatric patient
title_full Upper limb extravasation injury following remifentanil infusion at the limb covered with adhesive wrapping for hypothermia prevention during anesthesia of pediatric patient
title_fullStr Upper limb extravasation injury following remifentanil infusion at the limb covered with adhesive wrapping for hypothermia prevention during anesthesia of pediatric patient
title_full_unstemmed Upper limb extravasation injury following remifentanil infusion at the limb covered with adhesive wrapping for hypothermia prevention during anesthesia of pediatric patient
title_sort upper limb extravasation injury following remifentanil infusion at the limb covered with adhesive wrapping for hypothermia prevention during anesthesia of pediatric patient
publisher Bali Journal of Anesthesiology
publishDate 2023
url https://eprints.ums.edu.my/id/eprint/36059/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/36059/2/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/36059/
https://doi.org/10.4103/bjoa.bjoa_39_23
_version_ 1772812708519870464
score 13.211869

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