Extravasation of Antineoplastic Drugs in Pediatric Patients: Algorithms for Prevention, Treatment, and Follow-Up

Detalhes bibliográficos
Autor(a) principal: Chanes, Daniella Cristina
Data de Publicação: 2008
Outros Autores: Dias, Carla Gonçalves, Gutiérrez , Maria Gaby Rivero de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1725
Resumo: Introduction: Extravasation of antineoplastic drugs is one of the most severe acute reactions related to intravenous administration of such treatment. Standardized nursing care for drug administration and intervention in case of extravasation is important for assuring patient safety. Objectives: The objectives were to identify studies in the literature related to extravasation of antineoplastic drugs in children and adolescents and to develop algorithms for prevention, treatment, and follow-up of this adverse event. Methods: A literature search was performed in MEDLINE, PUBMED, and LILACS from 1993 to 2005. Key words searched were: extravasation, antineoplastic drugs, children, and follow-up. Results: Twelve studies were selected and grouped into three issues: prevention; nursing intervention and treatment; and follow-up and notification. Some risk factors for extravasation in children are described, emphasizing the effectiveness of the non-pharmacological treatment of this adverse event. The studies also highlighted that suspected or confirmed extravasation must be followed with specific instruments and protocols. Based on the findings in the literature, two algorithms were developed for nursing care for patients undergoing chemotherapy. Conclusion: Extravasation of antineoplastic drugs can be either prevented or diagnosed earlier, and nursing intervention and follow-up can be managed better using established institutional protocols.
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spelling Extravasation of Antineoplastic Drugs in Pediatric Patients: Algorithms for Prevention, Treatment, and Follow-UpExtravasamento de Drogas Antineoplásicas em Pediatria: Algoritmos para Prevenção, Tratamento e SeguimentoExtravasamento de materiais terapêuticos e diagnósticosCriançaAntineoplásicosSeguimentosEnfermagem OncológicaCuidados de enfermagemExtravasation of diagnostic and therapeutic materialsChildAntineoplastic agentsFollow-up studiesOncology nursingNursing careIntroduction: Extravasation of antineoplastic drugs is one of the most severe acute reactions related to intravenous administration of such treatment. Standardized nursing care for drug administration and intervention in case of extravasation is important for assuring patient safety. Objectives: The objectives were to identify studies in the literature related to extravasation of antineoplastic drugs in children and adolescents and to develop algorithms for prevention, treatment, and follow-up of this adverse event. Methods: A literature search was performed in MEDLINE, PUBMED, and LILACS from 1993 to 2005. Key words searched were: extravasation, antineoplastic drugs, children, and follow-up. Results: Twelve studies were selected and grouped into three issues: prevention; nursing intervention and treatment; and follow-up and notification. Some risk factors for extravasation in children are described, emphasizing the effectiveness of the non-pharmacological treatment of this adverse event. The studies also highlighted that suspected or confirmed extravasation must be followed with specific instruments and protocols. Based on the findings in the literature, two algorithms were developed for nursing care for patients undergoing chemotherapy. Conclusion: Extravasation of antineoplastic drugs can be either prevented or diagnosed earlier, and nursing intervention and follow-up can be managed better using established institutional protocols.Introdução: O extravasamento de drogas antineoplásicas é uma das complicações agudas mais severas relacionadas à administração endovenosa dessa modalidade de tratamento. A padronização dos cuidados de enfermagem, para a administração dessas drogas e intervenção nos casos de extravasamento, é uma importante medida para a segurança do paciente. Objetivos: Identificar, na literatura, estudos sobre o extravasamento de drogas antineoplásicas em crianças e adolescentes e, elaborar algoritmos para prevenção, tratamento e seguimento desse evento adverso. Método: Pesquisa bibliográfica realizada nas bases de dados MEDLINE, PUBMED e LILACS, abrangendo o período de 1993 a 2005. As palavras-chave utilizadas foram: extravasamento, antineoplásicos, criança e seguimento. Resultados: Foram analisados 12 artigos cujo conteúdo foi categorizado em três temas: prevenção, intervenções de enfermagem e tratamento, seguimento e documentação. São descritos fatores de risco para a ocorrência de extravasamento em pediatria e destaca-se que o tratamento não-farmacológico desse evento adverso tem se mostrado efetivo. Além disso, os estudos enfatizam que a suspeita ou ocorrência de extravasamento seja acompanhada por meio de instrumentos e protocolos específicos. Com base na literatura, foram desenvolvidos dois algoritmos para monitoramento da assistência de enfermagem a pacientes submetidos à quimioterapia. Conclusão: O extravasamento de drogas antineoplásicas pode ser prevenido, diagnosticado precocemente e ter intervenções e seguimento de enfermagem mais adequados, por meio da utilização de protocolos específicos.INCA2008-09-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRevisão de literaturaapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/172510.32635/2176-9745.RBC.2008v54n3.1725Revista Brasileira de Cancerologia; Vol. 54 No. 3 (2008): July/Aug./Sept.; 263-273Revista Brasileira de Cancerologia; Vol. 54 Núm. 3 (2008): jul./ago./sept.; 263-273Revista Brasileira de Cancerologia; v. 54 n. 3 (2008): jul./ago./set.; 263-2732176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1725/1019Chanes, Daniella Cristina Dias, Carla Gonçalves Gutiérrez , Maria Gaby Rivero de info:eu-repo/semantics/openAccess2021-11-29T20:22:39Zoai:rbc.inca.gov.br:article/1725Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:22:39Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Extravasation of Antineoplastic Drugs in Pediatric Patients: Algorithms for Prevention, Treatment, and Follow-Up
Extravasamento de Drogas Antineoplásicas em Pediatria: Algoritmos para Prevenção, Tratamento e Seguimento
title Extravasation of Antineoplastic Drugs in Pediatric Patients: Algorithms for Prevention, Treatment, and Follow-Up
spellingShingle Extravasation of Antineoplastic Drugs in Pediatric Patients: Algorithms for Prevention, Treatment, and Follow-Up
Chanes, Daniella Cristina
Extravasamento de materiais terapêuticos e diagnósticos
Criança
Antineoplásicos
Seguimentos
Enfermagem Oncológica
Cuidados de enfermagem
Extravasation of diagnostic and therapeutic materials
Child
Antineoplastic agents
Follow-up studies
Oncology nursing
Nursing care
title_short Extravasation of Antineoplastic Drugs in Pediatric Patients: Algorithms for Prevention, Treatment, and Follow-Up
title_full Extravasation of Antineoplastic Drugs in Pediatric Patients: Algorithms for Prevention, Treatment, and Follow-Up
title_fullStr Extravasation of Antineoplastic Drugs in Pediatric Patients: Algorithms for Prevention, Treatment, and Follow-Up
title_full_unstemmed Extravasation of Antineoplastic Drugs in Pediatric Patients: Algorithms for Prevention, Treatment, and Follow-Up
title_sort Extravasation of Antineoplastic Drugs in Pediatric Patients: Algorithms for Prevention, Treatment, and Follow-Up
author Chanes, Daniella Cristina
author_facet Chanes, Daniella Cristina
Dias, Carla Gonçalves
Gutiérrez , Maria Gaby Rivero de
author_role author
author2 Dias, Carla Gonçalves
Gutiérrez , Maria Gaby Rivero de
author2_role author
author
dc.contributor.author.fl_str_mv Chanes, Daniella Cristina
Dias, Carla Gonçalves
Gutiérrez , Maria Gaby Rivero de
dc.subject.por.fl_str_mv Extravasamento de materiais terapêuticos e diagnósticos
Criança
Antineoplásicos
Seguimentos
Enfermagem Oncológica
Cuidados de enfermagem
Extravasation of diagnostic and therapeutic materials
Child
Antineoplastic agents
Follow-up studies
Oncology nursing
Nursing care
topic Extravasamento de materiais terapêuticos e diagnósticos
Criança
Antineoplásicos
Seguimentos
Enfermagem Oncológica
Cuidados de enfermagem
Extravasation of diagnostic and therapeutic materials
Child
Antineoplastic agents
Follow-up studies
Oncology nursing
Nursing care
description Introduction: Extravasation of antineoplastic drugs is one of the most severe acute reactions related to intravenous administration of such treatment. Standardized nursing care for drug administration and intervention in case of extravasation is important for assuring patient safety. Objectives: The objectives were to identify studies in the literature related to extravasation of antineoplastic drugs in children and adolescents and to develop algorithms for prevention, treatment, and follow-up of this adverse event. Methods: A literature search was performed in MEDLINE, PUBMED, and LILACS from 1993 to 2005. Key words searched were: extravasation, antineoplastic drugs, children, and follow-up. Results: Twelve studies were selected and grouped into three issues: prevention; nursing intervention and treatment; and follow-up and notification. Some risk factors for extravasation in children are described, emphasizing the effectiveness of the non-pharmacological treatment of this adverse event. The studies also highlighted that suspected or confirmed extravasation must be followed with specific instruments and protocols. Based on the findings in the literature, two algorithms were developed for nursing care for patients undergoing chemotherapy. Conclusion: Extravasation of antineoplastic drugs can be either prevented or diagnosed earlier, and nursing intervention and follow-up can be managed better using established institutional protocols.
publishDate 2008
dc.date.none.fl_str_mv 2008-09-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Revisão de literatura
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1725
10.32635/2176-9745.RBC.2008v54n3.1725
url https://rbc.inca.gov.br/index.php/revista/article/view/1725
identifier_str_mv 10.32635/2176-9745.RBC.2008v54n3.1725
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1725/1019
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 54 No. 3 (2008): July/Aug./Sept.; 263-273
Revista Brasileira de Cancerologia; Vol. 54 Núm. 3 (2008): jul./ago./sept.; 263-273
Revista Brasileira de Cancerologia; v. 54 n. 3 (2008): jul./ago./set.; 263-273
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
_version_ 1797042248012005376

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