Complications of intraosseous access

Jordan Arakawa; Erik Woelber; Zachary Working; James Meeker; Darin Friess

doi:10.2106/JBJS.CC.19.00382

Complications of intraosseous access

Jordan Arakawa, Erik Woelber, Zachary Working, James Meeker, Darin Friess

Orthopaedics and Rehabilitation

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Cases: Intraosseous (IO) access is an effective surrogate for intravascular access in critically ill patients. We present 2 cases of IO complications. The first patient is a 44-year-old man with deep peroneal nerve sensorimotor dysfunction due to possible missed acute compartment syndrome from improper placement of a tibial IO needle. The second patient is an immunosuppressed 69-year-old man with idiopathic factor VIII deficiency who required amputation 7 months after right tibia IO access. Conclusion: These adverse events of IO access are limited in the literature. We make recommendations to reduce these outcomes.

Original language	English (US)
Article number	e19.00382
Journal	JBJS case connector
Volume	11
Issue number	2
DOIs	https://doi.org/10.2106/JBJS.CC.19.00382
State	Published - Apr 20 2021

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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title = "Complications of intraosseous access",

abstract = "Cases: Intraosseous (IO) access is an effective surrogate for intravascular access in critically ill patients. We present 2 cases of IO complications. The first patient is a 44-year-old man with deep peroneal nerve sensorimotor dysfunction due to possible missed acute compartment syndrome from improper placement of a tibial IO needle. The second patient is an immunosuppressed 69-year-old man with idiopathic factor VIII deficiency who required amputation 7 months after right tibia IO access. Conclusion: These adverse events of IO access are limited in the literature. We make recommendations to reduce these outcomes.",

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AU - Arakawa, Jordan

AU - Woelber, Erik

AU - Working, Zachary

AU - Meeker, James

AU - Friess, Darin

PY - 2021/4/20

Y1 - 2021/4/20

N2 - Cases: Intraosseous (IO) access is an effective surrogate for intravascular access in critically ill patients. We present 2 cases of IO complications. The first patient is a 44-year-old man with deep peroneal nerve sensorimotor dysfunction due to possible missed acute compartment syndrome from improper placement of a tibial IO needle. The second patient is an immunosuppressed 69-year-old man with idiopathic factor VIII deficiency who required amputation 7 months after right tibia IO access. Conclusion: These adverse events of IO access are limited in the literature. We make recommendations to reduce these outcomes.

AB - Cases: Intraosseous (IO) access is an effective surrogate for intravascular access in critically ill patients. We present 2 cases of IO complications. The first patient is a 44-year-old man with deep peroneal nerve sensorimotor dysfunction due to possible missed acute compartment syndrome from improper placement of a tibial IO needle. The second patient is an immunosuppressed 69-year-old man with idiopathic factor VIII deficiency who required amputation 7 months after right tibia IO access. Conclusion: These adverse events of IO access are limited in the literature. We make recommendations to reduce these outcomes.

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Complications of intraosseous access

Abstract

ASJC Scopus subject areas

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