A case report of furosemide extravasation in the hand: a rare cause of compartment syndrome

In emergency departments, many drugs, fluids, and materials for medical examinations and treatment are typically administered to patients intravenously. One of the most common complications of the intravenous bolus or infusion of drugs is extravasation injuries. These injuries may cause certain morb...

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Main Authors: Sertaç Güler, Dilber Üçöz Kocaşaban
Format: Article
Language:English
Published: The Korean Society of Emergency Medicine 2023-12-01
Series:Clinical and Experimental Emergency Medicine
Subjects:
Online Access:http://www.ceemjournal.org/upload/pdf/ceem-22-325.pdf
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author Sertaç Güler
Dilber Üçöz Kocaşaban
author_facet Sertaç Güler
Dilber Üçöz Kocaşaban
author_sort Sertaç Güler
collection DOAJ
description In emergency departments, many drugs, fluids, and materials for medical examinations and treatment are typically administered to patients intravenously. One of the most common complications of the intravenous bolus or infusion of drugs is extravasation injuries. These injuries may cause certain morbidities for the patient, increase the cost of treatment, and prolong hospital stays. At the same time, these injuries also carry medicolegal risks for health personnel. Furosemide is a potent diuretic that is commonly used in emergency departments for volume overload conditions. To the best of our knowledge, there have been no cases reported in the literature of furosemide-induced extravasation injury with subsequent compartment syndrome that has required surgical intervention. Presented herein is the case of a 70-year-old female patient who was administered intravenous furosemide from the dorsum of the left hand and whose extravasation injury progressed to compartment syndrome requiring an emergency fasciotomy.
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spelling doaj.art-b8233195ffd8448aaed3e543b53481182024-01-16T06:04:49ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252023-12-0110444644910.15441/ceem.22.325427A case report of furosemide extravasation in the hand: a rare cause of compartment syndromeSertaç Güler0Dilber Üçöz Kocaşaban1 Department of Emergency Medicine, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey Department of Emergency Medicine, Ankara Training and Research Hospital, University of Health Sciences, Ankara, TurkeyIn emergency departments, many drugs, fluids, and materials for medical examinations and treatment are typically administered to patients intravenously. One of the most common complications of the intravenous bolus or infusion of drugs is extravasation injuries. These injuries may cause certain morbidities for the patient, increase the cost of treatment, and prolong hospital stays. At the same time, these injuries also carry medicolegal risks for health personnel. Furosemide is a potent diuretic that is commonly used in emergency departments for volume overload conditions. To the best of our knowledge, there have been no cases reported in the literature of furosemide-induced extravasation injury with subsequent compartment syndrome that has required surgical intervention. Presented herein is the case of a 70-year-old female patient who was administered intravenous furosemide from the dorsum of the left hand and whose extravasation injury progressed to compartment syndrome requiring an emergency fasciotomy.http://www.ceemjournal.org/upload/pdf/ceem-22-325.pdfcompartment syndromesemergency medicineextravasation of diagnostic and therapeutic materialsfurosemidecase reports
spellingShingle Sertaç Güler
Dilber Üçöz Kocaşaban
A case report of furosemide extravasation in the hand: a rare cause of compartment syndrome
Clinical and Experimental Emergency Medicine
compartment syndromes
emergency medicine
extravasation of diagnostic and therapeutic materials
furosemide
case reports
title A case report of furosemide extravasation in the hand: a rare cause of compartment syndrome
title_full A case report of furosemide extravasation in the hand: a rare cause of compartment syndrome
title_fullStr A case report of furosemide extravasation in the hand: a rare cause of compartment syndrome
title_full_unstemmed A case report of furosemide extravasation in the hand: a rare cause of compartment syndrome
title_short A case report of furosemide extravasation in the hand: a rare cause of compartment syndrome
title_sort case report of furosemide extravasation in the hand a rare cause of compartment syndrome
topic compartment syndromes
emergency medicine
extravasation of diagnostic and therapeutic materials
furosemide
case reports
url http://www.ceemjournal.org/upload/pdf/ceem-22-325.pdf
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