[Leg ischemia complicating the intraosseous infusion of epinephrine for a Djiboutian child].
Intraosseous infusion is increasingly used as an alternative to intravenous infusion. It is recommended for the cardiac arrest of a child in the first instance and after two failed attempts of intravenous infusion in the cardiac arrest of adults. Its rapid use and its low failure rate justify its use in all life-threatening emergencies. It can be used to administer the same treatments as intravenous infusion. It does, nonetheless, present some rare complications, such as acute leg ischemia by extravasation of epinephrine, as we report here. Awareness of these complications is necessary to ensure compliance with the rules of placing this type of infusion.
Brigade des sapeurs-pompiers de Paris, 1 place Jules-Renard, 75017 Paris.
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O
Maurin
Service médical d'unité. 1er régiment des hussards parachutistes, Tarbes.
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S
de Régoix
Service d'accueil des urgences de Djibouti, hôpital médico-chirurgical Bouffard, Djibouti.
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E
Legonidec
Brigade des sapeurs-pompiers de Paris, 1 place Jules-Renard, 75017 Paris.
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JP
Tourtier
Service de réanimation, hôpital d'instruction des armées Sainte-Anne, Toulon.
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E
Kaiser
D015730:Djibouti; D004837:Epinephrine / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006323:Heart Arrest / Q000188:drug therapy*; D006801:Humans; D007223:Infant; D017148:Infusions, Intraosseous / Q000009:adverse effects; D007511:Ischemia / Q000139:chemically induced*; D007866:Leg / Q000098:blood supply*
D004837:Epinephrine
epinephrine; extravasation; intraosseous infusion; leg ischemia