Intraosseous Extravasation Complication Reports

• Published in: Annals of emergency medicine Vol. 23; no. 2; pp. 363 - 366
• Main Authors: Simmons, C.Michael, Johnson, N.Eric, Perkin, Ronald M., van Stralen, David
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.02.1994; Elsevier
• Subjects: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Child, Preschool; Emergencies; Emergency and intensive care: neonates and children. Prematurity. Sudden death; Extravasation of Diagnostic and Therapeutic Materials - complications; Fatal Outcome; Female; Humans; Infant; Infusions, Intraosseous - adverse effects; Intensive care medicine; Male; Medical sciences; Resuscitation; Human; Vascular disease; Case study; Arteriopathy; Striated muscle disease; Perfusion; Extravasation; Bone administration; Cardiovascular disease; Complication; Infant; Compartment syndrome
• ISSN: 0196-0644; 1097-6760
• DOI: 10.1016/S0196-0644(94)70053-2

We report two cases of severe complications from intraosseous infusions. One child was a sudden infant death syndrome patient who developed severe tissue necrosis after intraosseous placement. The second child was a near drowning who developed a compartment syndrome requiring fasciotomy. Extravasation is a potentially major complication that resulted in these limb-threatening events. Intraosseous infusion remains an important resuscitation modality, but great care must be taken to avoid these results. Strategies for avoiding extravasation are discussed. [Simmons CM, Johnson NE, Perkin RM, van Stralen D: Intraosseous extravasation complication reports. Ann Emerg Med February 1994;23:363-366.]