Intraosseous infusion of muscle relaxants.
This case report presents the resuscitation of a 6 1/2-month-old child with elevated intracranial pressure, seizure activity, and a presumptive diagnosis of shaken child syndrome. It is unique in the usage of an intraosseous infusion line for the administration of muscle relaxants and anesthetic agents to aid in an atraumatic intubation in this head-injured child. This is an original report of the usage of the intraosseous line for the administration of succinylcholine chloride, atracurium besylate, and thiopental sodium.
Katan
B S
BS
Department of Emergency Medicine, Naval Hospital, San Diego, California 92134-5000.
Olshaker
J S
JS
Dickerson
S E
SE
D000058:Accidental Falls; D000777:Anesthetics / Q000008:administration & dosage; D001853:Bone Marrow; D006259:Craniocerebral Trauma / Q000150:complications / Q000628:therapy; D004630:Emergencies; D005260:Female; D006801:Humans; D007223:Infant; D007263:Infusions, Parenteral / Q000379:methods*; D007427:Intracranial Pressure; D009125:Muscle Relaxants, Central / Q000008:administration & dosage*; D012151:Resuscitation / Q000379:methods; D012640:Seizures / Q000209:etiology / Q000628:therapy
D000777:Anesthetics; D009125:Muscle Relaxants, Central