0000016698 00000 n This narrative review discusses the incidence, risk factors, mechanisms of injury, complications, and treatment regimens for accidental intra-arterial injection of medications. Br Med J 1967; 1(541): 681. Intra-arterial injections represent the most feared complication of sclerotherapy for varicose veins. List the associated risk factors and describe risk reduction techniques 3. <]>> It is most commonly seen as an iatrogenic complication when administering an intravenous medication. Brainstem (5), cer… 0000004910 00000 n The dorsal nasal artery, as its name suggests, runs along the dorsum of the nose, ~ 3 mm away from the midline . 0000074099 00000 n Acute arterial spasm in an extremity caused by inadvertent intra-arterial injection successfully treated in the emergency department. 0000072783 00000 n T2 - Risks, outcomes, and management strategies. 0000074674 00000 n Blaxter PL, Britten MJ. complications usually encountered are ischaemic or haemorrhagic in nature; major complications are fortunately relatively uncommon (Ersoz, Hedden and Lain, 1970). 0000072095 00000 n Fortunately, permanent damage to nerves, facial and oral tissues, and eyes is rare. trailer 0000012509 00000 n Injection of propofo… 0000073590 00000 n 0000072830 00000 n 0000002693 00000 n 0000038887 00000 n 0000022127 00000 n AU - Brown, Michael J. PY - 2005/6. Such complications have been reported at all spinal levels. 0000004132 00000 n Immediately after a direct intra-arterial injec-tion… Intra-arterial (IA) injection of drugs may cause acute, severe extremity ischaemia and gangrene. We use cookies to help provide and enhance our service and tailor content and ads. By continuing you agree to the use of cookies. 0000073542 00000 n Although the amount injected in the present case was as high as 20 mL, unlike most other cases in which the volume of solution injected was small (2-8 mL), the clinical presentation was similar. 0000011902 00000 n No serious complications or functional deficits appeared. 0000071737 00000 n An inordinately high rate of renal complications was encountered among 35 patients treated for thrombotic or thromboembolic occlusion of the leg by injection … 0000071956 00000 n In 2 benzathine penicillin was injected, and in 1 rolitetracycline. 24- 48 hours: swelling, edema, contractures, signs of compartment syndrome. Few reports of accidental intra-arterial injection with propofol are available [2-4]. The clinical features are dominated by arteriolar obstruction which produces gangrene of the most severely affected limb. 0000020589 00000 n Delivery of certain medications via arterial access has led to clinically important sequelae, including paresthesias, severe pain, motor dysfunction, compartment syndrome, gangrene, and limb loss. 0000073830 00000 n 0000012167 00000 n The main finding is pain in the injection site. Copyright © 2020 Elsevier B.V. or its licensors or contributors. AU - Sen, Surjya. 0000071463 00000 n Dental diplopia with transient abducens palsy. 0000071830 00000 n Injection rhinoplasty is also the main procedure that can induce intra-arterial embolism by injecting the dorsal nasal artery directly. Cutaneous complications after intra-arterial injection of buprenorphine, which is used as oral maintenance treatment for patients with opioid dependence, are rare. 0000007353 00000 n 0000072004 00000 n We comprehensively review the current literature, highlighting available information on risk factors, symptoms, pathogenesis, sequelae, and management strategies for unintentional intra-arterial injection. Abstract. 0000012883 00000 n 0000074147 00000 n 0000013130 00000 n �pl7P. Accidental intra-arterial injection of intramuscular antibiotic preparations is described in 3 cases in infants. 0000018217 00000 n Complications from intravenous injections of heroin requiring neurosurgical intervention are rare, and range from the infectious (intracranial abscess, mycotic aneurysm) to the ischaemic (stroke). Published by Elsevier Inc. All rights reserved. The reader is presumed to have general knowledge of dermal fillers and their application in treating rhytids and restoring facial volume, as well as a broad understanding of facial anatomy, including detailed anatomy of tissue planes and fat deposits. The facial skin, intraoral structures and eye were affected. 0000074626 00000 n Describe the signs and symptoms of accidental intravascular injection 2. 0000013804 00000 n BROWN, MD Unintentional intra-arterial injection of medication, either iatro-genic or self-administered, is a source of considerable morbidity. 0000015617 00000 n 62 0 obj <> endobj Clinical Implications. 0000002534 00000 n In addition, some authors reported, a transient vascular reaction with blanching followed by hyperaemia [3,4]. 0000012628 00000 n 0000074501 00000 n Immediate: pain on injection, numbness, weakness. 0000008281 00000 n 0000021111 00000 n Cole JK. 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