title: Intraosseous extravasation complication reports.
abstract: 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.
authors.affiliation: Department of Emergency Medicine, Loma Linda University School of Medicine, California.
authors.forename: C M
authors.initials: CM
authors.lastname: Simmons
authors.forename: N E
authors.initials: NE
authors.lastname: Johnson
authors.forename: R M
authors.initials: RM
authors.lastname: Perkin
authors.forename: D
authors.initials: D
authors.lastname: van Stralen
mesh_terms: 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