title: Crural amputation of a newborn as a consequence of intraosseous needle insertion and calcium infusion.
abstract: Intraosseous needle insertion and infusion is considered an easy and reliable method of achieving a vascular access in acute circulatory collapse where other methods have not been successful within reasonable time. Complications are considered few but may be serious. We present a case of a newborn girl, where intraosseous cannulation of the tibia was lifesaving. Despite following most standard recommendations, the treatment resulted in transtibial amputation due to necrosis. We suspect that the necrosis was a consequence of extravasation of tissue-toxic calcium infusion.
authors.affiliation: From the Departments of *Orthopaedic Surgery, †Anesthesia and Intensive Care, and ‡Pediatrics, Aarhus University Hospital, Aarhus, Denmark.
authors.forename: Gorm Erlend
authors.initials: GE
authors.lastname: Oesterlie
authors.forename: Klaus Kjaer
authors.initials: KK
authors.lastname: Petersen
authors.forename: Lars
authors.initials: L
authors.lastname: Knudsen
authors.forename: Tine Brink
authors.initials: TB
authors.lastname: Henriksen
mesh_terms: D000671:Amputation, Surgical; D002118:Calcium / Q000008:administration & dosage / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D017148:Infusions, Intraosseous / Q000295:instrumentation*; D010020:Osteonecrosis / Q000209:etiology* / Q000601:surgery; D013977:Tibia / Q000601:surgery*
chemical_list: D002118:Calcium