IV Infiltration

[Ellen59]

1

[BittyBabyGrower, MSN, RN]

OH...you are so lucky....Wydase was the best! Give it and then a few hours later...it was gone! I'm surprised some other company hasn't made it again.

[justjenny]

Most of ours, do, too, but I can't believe that EVERYBODY always uses PICC lines for all their fluids....

We almost never use PICCs on our unit...usually in the micro preemies or as a last resort.

When we have an infiltrate we use hydrogel on it - either a big glob and then a tegaderm over it or a huge amount and a "bag" placed over the limb (sterile technique)

Here's the closest I could find to explaining it:

http://www.worldwidewounds.com/1997/october/Neonates/NeonatePaper.html

Jenny

[wee one rn]

OH...you are so lucky....Wydase was the best! Give it and then a few hours later...it was gone! I'm surprised some other company hasn't made it again.

We are still using it, it's Hyaluronidase, aka Hydase, it was gone for a while and then suddenly it was back, it works soo well!! I'm not sure if the same manufacturer is still making it, but we have a consistent supply of it.

[Gompers, BSN, RN]

We are still using it, it's Hyaluronidase, aka Hydase, it was gone for a while and then suddenly it was back, it works soo well!! I'm not sure if the same manufacturer is still making it, but we have a consistent supply of it.

That's the stuff I was talking about!!!

[kalamazoo]

we have good luck with silvadene cream; scarring seems to be less

[dawngloves, BSN, RN]

We are still using it, it's Hyaluronidase, aka Hydase, it was gone for a while and then suddenly it was back, it works soo well!! I'm not sure if the same manufacturer is still making it, but we have a consistent supply of it.

Oh yeah! That's what we have too. Old habit calling it Wydase.

[Gompers, BSN, RN]

Oh yeah! That's what we have too. Old habit calling it Wydase.

We do that, too. :)

[mawjood]

for me also I really heat periphal IV line but I wonder if the member Gompers can tell me what is PICC.

Thanks...................

[Gompers, BSN, RN]

for me also I really heat periphal IV line but I wonder if the member Gompers can tell me what is PICC.

Thanks...................

We call them PICC or PCVC lines. Peripherally Inserted Central Catheter or Percutaneous Central Venous Catheter. They are tiny white (silicone I think) catheters that are placed in the baby's vein anywhere on the body and then gently threaded inside the vein until the tip of the catheter is in one of the large vessels near the heart. We are able to give high concentrations of dextrose and protein through these catheters because the IV fluid empties into large vessels that can handle those solutions. They don't infiltrate very often at all, and it saves the baby from needing frequent peripheral IV catheters.

[mawjood]

Thanks..........

If the insertion of central line in your hospitial done by nurses or doctors,because for our hospitial it should done by consultation only , but our consultation said he want the nurses to do it?

[Gompers, BSN, RN]

Thanks..........

If the insertion of central line in your hospitial done by nurses or doctors,because for our hospitial it should done by consultation only , but our consultation said he want the nurses to do it?

I'm not sure what you mean by consultation.

On our unit, the neonatal nurse practitioners insert the lines. In other hospitals, doctors do it. And in some places, nurses are specially trained to place the lines. It all depends on where you work.

[Mimi2RN, ASN, RN]

Wydase was discontinued because of Mad Cow disease. It was made from bulls testicles. The new stuff (Hyaluronidase) is made from something else, I think from sheep. It works very well!

We have also used Silver Sulfadene on bad infiltrates.