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use of cold packs in treatment of infiltration, extravasation of pediatric patients

Our pediatric facility is updating our clinical standard on treatment of infiltrates and extravasations in the pediatric patient. I would appreciate any feedback on the following questions including references and evidence to guide this practice. 1. What age groups do you utilize cold packs in treatment? 2. Is the cold pack applied pre or post hyaluronidase treatment? 3. What length of time do you recommend to apply the cold pack for effectiveness? Any information will be greatly appreciated.

 Please see the INS Standard

 Please see the INS Standard 46 Infiltration and Extravasation, with 25 references listed. I don't recall these studies going to the level of detail as your questions. What is included in the Standards does address what  was found for pediatrics. Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

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