Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2005-4-25
pubmed:abstractText
The parenteral drug application is a routinely used method in all medical disciplines. Intramuscular, intraarticular, intravenous injections and infusions can cause local complications such as abscesses, articular infections or paravasates. These local complications can lead to bacteraemia, sepsis and may lead to multiple organ failure associated with high morbidity and mortality. Although these complications are rare, they are sometimes disastrous and result in life threatening clinical conditions. During a retrospective analysis (review period 1998-2002) 24 patients were admitted and hospitalized in our department. Within this report we demonstrate 7 patients with fatal complications after injections. In the majority of cases minor patients' complaints were proceeding before major complications were present. A long and expensive treatment period with multiple surgical interventions ends up in functional disabilities and unsatisfactory aesthetic results. Instead of delayed surgical treatment immediate radical surgical care is crucial to prevent disastrous complications. In case of the inability of sufficient debridement, amputations are sometimes indicated in the sense of "life before limb". Besides the consequences for the patient these disastrous complications have a high socioeconomic impact and result in reduced reimbursement for the hospital stay.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0044-409X
pubmed:author
pubmed:issnType
Print
pubmed:volume
130
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
162-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15849663-Abscess, pubmed-meshheading:15849663-Adolescent, pubmed-meshheading:15849663-Adult, pubmed-meshheading:15849663-Aged, pubmed-meshheading:15849663-Amputation, pubmed-meshheading:15849663-Debridement, pubmed-meshheading:15849663-Fasciitis, Necrotizing, pubmed-meshheading:15849663-Female, pubmed-meshheading:15849663-Humans, pubmed-meshheading:15849663-Injections, pubmed-meshheading:15849663-Injections, Intra-Arterial, pubmed-meshheading:15849663-Injections, Intramuscular, pubmed-meshheading:15849663-Injections, Intravenous, pubmed-meshheading:15849663-Male, pubmed-meshheading:15849663-Middle Aged, pubmed-meshheading:15849663-Punctures, pubmed-meshheading:15849663-Radial Artery, pubmed-meshheading:15849663-Reconstructive Surgical Procedures, pubmed-meshheading:15849663-Retrospective Studies, pubmed-meshheading:15849663-Skin Transplantation, pubmed-meshheading:15849663-Soft Tissue Injuries, pubmed-meshheading:15849663-Surgical Flaps, pubmed-meshheading:15849663-Thromboembolism, pubmed-meshheading:15849663-Treatment Outcome
pubmed:year
2005
pubmed:articleTitle
[Serious complications of injections--retrospective analysis of incidences, complication-management, prophylaxis and economic aspects].
pubmed:affiliation
Universitätsklinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Zentrum für Gliedmassentumoren, Bochum. marcus.lehnhardt@rub.de
pubmed:publicationType
Journal Article, Comparative Study, English Abstract, Case Reports