Sensing Technologies for Extravasation Detection: A Review

ACS Sens. 2023 Mar 24;8(3):1017-1032. doi: 10.1021/acssensors.2c02602. Epub 2023 Mar 13.

Abstract

Peripheral intravenous catheters are administered for various purposes, such as blood sampling or the infusion of contrast agents and drugs. Extravasation happens when the catheter is unintentionally directed outside of the vein due to movement of the intravascular catheter, enhanced vascular permeability, or occlusion of the upstream vein. In this article, extravasation and its mechanism are discussed. Subsequently, the sensorized devices (e.g., single sensor and multimodal detection) to identify the extravasation phenomena are highlighted. In this review article, we have shed light on both physiological and engineering points of view of extravasation and its detection approaches. This review provides an overview on the most recent and relevant technologies that can help in the early detection of extravasation.

Keywords: Blood extravasation; PIVC; bleeding; contrast agent; drug infusion; infiltration; infrared sensors; intravenous catheters; radiofrequency sensor; thermal imaging; ultrasound sensors.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Catheterization, Peripheral*
  • Contrast Media*
  • Engineering

Substances

  • Contrast Media