Bilateral Lower Extremity Compartment Syndromes Secondary to Intraosseous Fluid Resuscitation

Rd, Galpin; Jb, Kronick; Rb, Willis; Tc, Frewen

doi:10.1097/01241398-199111000-00014

Cited by 63 publications

(15 citation statements)

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“…Infection can take the form of cellulitis or in more severe cases osteomyelitis [3]. When the tibia is used as an IO access site extravasation of fluid can lead to compartment syndrome which may go undetected in the obtunded patient [4].…”

Section: Discussionmentioning

confidence: 99%

A Complication of the use of an Intra-Osseous Needle

Fenton

Bali

Sargeant³

et al. 2009

J R Army Med Corps

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Section: Discussionmentioning

confidence: 99%

A Complication of the use of an Intra-Osseous Needle

Fenton

Bali

Sargeant³

et al. 2009

J R Army Med Corps

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“…Although the observed risk of infection is low, this can take the form of cellulitis or in more severe forms osteomyelitis [23]. When the tibia is used as an IO site it has been reported that occasionally fluid resuscitation can lead to compartment syndrome in children [24].…”

Section: Complicationsmentioning

confidence: 99%

Vascular Access on the 21st Century Military Battlefield

Hulse

Thomas

2010

J R Army Med Corps

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Timely and appropriate access to the vascular circulation is critical in the management of 21st century battlefield trauma. It allows the administration of emergency drugs, analgesics and rapid replacement of blood volume. Methods used to gain access can include; the cannulation of peripheral and central veins, venous cut-down and intraosseus devices. This article reviews the current literature on the benefits and complications of each vascular access method. We conclude that intraosseus devices are best for quick access to the circulation, with central venous access via the subclavian route for large volume resuscitation and low complication rates. Military clinicians involved with the care of trauma patients either in Role 2 and 3 or as part of the Medical Emergency Response Team (MERT), must have the skill set to use these vascular access techniques by incorporating them into their core medical training.

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“…61,62 Although rare, 63Y65 complications associated with the intraosseous route can occur. These include osteomyelitis, 66 fluid extravasation, 65 fat embolism, 58 fracture, 67 and compartment syndrome 68,69 and are usually attributed to incorrect placement technique. 70 Within the last 15 years, the intraosseous route has gained recognition as an alternative means to achieve rapid vascular access in critically ill children, 71 and the technique is now included in the Pediatric Advanced Life Support, 72 Advanced Pediatric Life Support, 73 and Advanced Trauma Life Support 74 courses.…”

Section: Intraosseous Fluid Administrationmentioning

confidence: 99%

Alternatives to Intravenous Rehydration in Dehydrated Pediatric Patients With Difficult Venous Access

Eldridge¹

2010

Pediatric Emergency Care

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Intravenous (IV) catheter placement in the pediatric patient population can be challenging. Many health care providers automatically choose IV fluid administration to treat dehydration, often not considering other routes. This article reviews the available literature on difficulties in obtaining IV access in the pediatric population and discusses alternative methods for fluid replacement, their respective advantages and disadvantages, and place in therapy.

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Bilateral Lower Extremity Compartment Syndromes Secondary to Intraosseous Fluid Resuscitation

Cited by 63 publications

References 0 publications

A Complication of the use of an Intra-Osseous Needle

A Complication of the use of an Intra-Osseous Needle

Vascular Access on the 21st Century Military Battlefield

Alternatives to Intravenous Rehydration in Dehydrated Pediatric Patients With Difficult Venous Access

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