Using the superior sagittal sinus for emergency venous access in an infant. Case report.
Emergency venous access in an infant suffering from multiple trauma and shock can be difficult. Peripheral venous access and central line placement are not always successful. Death following underresuscitation due to the lack of adequate access occurs, although it is not often reported in the literature. The author presents a case in which successful resuscitation was achieved by injecting blood into the superior sagittal sinus through an open fontanelle in a 2-week-old infant who presented in shock and with ventricular fibrillation after nonaccidental trauma.
Division of Neurosurgery and Department of Pediatrics, The University of Vermont College of Medicine, Burlington, Vermont 05401, USA. patrick.graupman@uvm.edu
Patrick
P
Graupman
D001803:Blood Transfusion / Q000379:methods*; D002649:Child Abuse; D003392:Cranial Sinuses; D006259:Craniocerebral Trauma / Q000473:pathology*; D004632:Emergency Medical Services; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous; D008297:Male; D012769:Shock; D012886:Skull; D014693:Ventricular Fibrillation