Table 4.

Non-pharmacological management of chemotherapy extravasation

Institutions should always ensure availability of “extravasation kits” at floors in which chemotherapy can be given

Initial non-pharmacologic management

Continuous monitoring at the beginning and during the infusion is essential every 5 to 10 min

Aspiration of the vesicant by a 10 mL syringe, percutaneous needle aspiration, liposuction, simple squeeze maneuver, or by surgical fenestration and irrigation

Elevation of the affected limb and thermal application (cold or hot)