Intraosseous extravasation complication reports.
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
C M
CM
Department of Emergency Medicine, Loma Linda University School of Medicine, California.
Johnson
N E
NE
Perkin
R M
RM
van Stralen
D
D
D002675:Child, Preschool; D004630:Emergencies; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007223:Infant; D017148:Infusions, Intraosseous / Q000009:adverse effects*; D008297:Male; D012151:Resuscitation