Failing to treat a a seriously ill patiently in a timely manner and correctly may lead to serious consequences on the patient’s life. The same critical treatment needing to be administered in a timely manner gets delayed quite often because the patient is not diagnosed correctly or fast enough. Diagnosing a patient properly and fast is substantive for any life-threatening conditions, which includes extravasation.
Chemotherapy patients undergo the risky procedure. Chemotherapeutic drugs are administered into subcutaneous tissue intravenously who are going through chemo treatment. Extravasation is the risk these cancer patients have to take while experiencing this kind of treatment, and they are well informed of it, and their doctors are well aware of the risk. What is the risk and what happens?
Extravasation occurs when chemotherapeutic agents are accidentally given intravenously infused medications into the tissue or space around the injection sites by prior venipuncture, leakage or unmediated leakage from an improperly positioned venous operation instrument.
Extravasation can cause varying degrees of injury, with some being severe. It all depends on which and what kind of drug extravasates. The worst injuries to patients are cased by the extravasation of anti-tumor medication that bind to the DNA. The chemotherapeutic factors that are extravasated join to nucleic acids, which leads to a drawn-out run of injury. When a drug by the name of Doxorubicin extravasates the effects on the muscles and tendons are devastating. It causes the progressive and fast tissue death in the muscles and tendons. Since there is no antidote for Doxorubicin extravasation, the recommended, and seemingly only treatment, is excision. This mean the tissue in the muscles and tendons have to be cut out immediately before the tissue death continues to spread and limbs possibly need to be amputated. Injecting saline solution at an extravasation point for a chemo agent has only had moderate success because it dilutes the the concentration of the extravasating. The only problem with that, and it is a major problem, is the disagreement from part of the medical community that claims injecting saline increases the diffusion of the agent being extravasated and spreads it to nearby tissue.
When there has been extravasation of a DNA-binding chemo agent, the prompt treatment should be intermittent cold applied to whatever extremity dealing with the effect, and the appendage should be substantial elevation. So far, there is no agent that can alter the end result of extravasation of a chemotherapeutic agent binding if anything is injected locally after it has started. Unrelenting swelling, pain and erythema are signs a surgeon needs to be consulted, and there needs to be a surgery planned even if there have been no appearance or evidence of ulcerations. If there are visible blister and ulcerations are evident, surgery has to be done to begin excision of the necrotic and afflicted tissue.
The medical team treating a cancer patient undergoing chemo has to watch the patient closely. If they do not, they will not know if there is extravasation. It cannot be treated before it starts obviously, and it has to be treated as soon as it starts to prevent tissue death and other complications. Since extravasation is a known risk for chemo patients, then it is hard to determine whether or not the condition itself is malpractice. A skilled attorney has the job of proving that, and a judge and jury have the unenviable task of determining it. One thing is for certain, how extravasation is treated falls under the malpractice microscope. Also, the length of time it goes untreated and the extent of the damage endured by an already gravely ill cancer patient struggling for his or her life is definitely a malpractice issue. Anyone being injected with chemotherapy agents should be watched closely and constantly for everything from depression to extravasation. If you or someone you love has been hurt or gotten increasingly ill because of extravasation, contact us immediately, and our skilled legal team will evaluate your case.