Intra-osseous-access-associated lower limb compartment syndrome in a critically injured paediatric patient

Turner, Jake; Thies, Karl‐Christian

doi:10.1097/eja.0000000000000873

Cited by 8 publications

(7 citation statements)

References 12 publications

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“…About 4.26% patients suffered short-term complications such as extravasation of uid. Extravasation can cause severe compartment syndrome, we could not ignore this deadly threat particularly for those needing pressurized infusions, even the rate associated with IO access remained very low at 0.6% [12]. By removing the IO device, the continuous expansion and escalation of complications can be effectively avoided.…”

Section: Discussionmentioning

confidence: 98%

Application of Intra-Osseous Access in the Critical Care of Patients With Severe Multiple Trauma

Shen

Yang

et al. 2021

Preprint

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ObjectiveThis study aimed to evaluate the efficacy of intra-osseous (IO) access in the treatment of patients with severe multiple trauma. MethodsThis was a retrospective study in trauma center of the First Affiliated Hospital of Soochow University. The clinical data of 94 patients were reviewed in emergency room (ER) from April 2018 to September 2020. We summarized advantages of IO access for the following aspects: puncture efficiency, the duration of puncturing and success rate. Besides, we analyzed the relationship with central venous catheter (CVC), tracheal intubation and cardio-pulmonary resuscitation (CPR). ResultsThe IO observation group presented a relatively good results in puncture efficiency (efficiency came into use within 15 minutes after being hospitalized: 36.17%), the duration of puncturing (less than or equal to 1 min: 93.62%), success rate (96.81%). ConclusionThe application of IO in the treatment of patients can shorten the time and improve the success rate in rescuing critically ill patients. It serves as a parallel rescue method and is worthy of clinical promotion and skill acquisition.

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Section: Discussionmentioning

confidence: 98%

Application of Intra-Osseous Access in the Critical Care of Patients With Severe Multiple Trauma

Shen

Yang

et al. 2021

Preprint

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“…28,32,43,50 The most severe complications were 3 cases of compartment syndrome, each described as case reports, and 1 case of osteomyelitis which resulted in an above the knee amputation. 18,39 Additionally, in another case report of lower extremity extravasation, there was also subacute intramuscular hemorrhage but did not result in compartment syndrome. 41 Minor complications of IO access included pain, skin abrasions, and needle dislodgements after insertion.…”

Section: Io Interventionsmentioning

confidence: 97%

“…Of the 41 overall eligible studies, 19 articles exclusively included trauma patients. 9,18,24,28,31,[35][36][37]41,42,[45][46][47]49,53,[56][57][58]60 Most of these studies were case reports, followed by 4 retrospective studies and 3 prospective observational studies. Only 4 of the trauma studies reported success rates by IO device, with the highest being 100% success using the FAST1, followed by 97% using the EZ-IO.…”

Section: Io Interventionsmentioning

confidence: 99%

“…9,24,36,45,60 The remaining 7 studies noted different complications, of which 6 were written as case reports. 18,39,41,46,47,56…”

Section: Io Interventionsmentioning

confidence: 99%

“…17 There are also several case reports in adult and pediatric patients where rarely (.6% incidence), IO insertion may result in compartment syndrome. [18][19][20] From a radiologic perspective, IO can also be used to perform computerized tomography (CT) examinations with contrast, although studies are limited. 9,[21][22][23] One case report used a power injector in the evaluation of a trauma patient with IO access, found to have adequate CT studies of the thorax, abdomen, and pelvis and were subjectively equivalent to those studies using CVC.…”

Section: Introductionmentioning

confidence: 99%

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Resuscitation and Evaluation With Intraosseous Access: A Review of the Literature in Trauma and Non-Trauma Patients

Chiang,

Teichman

2024

The American Surgeon™

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According to trauma resuscitation guidelines, intraosseous (IO) access is appropriate when failure to gain intravenous (IV) access is present in trauma, burn, shock, or resuscitation settings for adults or when two failed attempts have been made in the resuscitation of a pediatric patient. However, their effectiveness and use have been debated due to concerns on flow rates, extravasation, compartment syndrome, and osteomyelitis. The objective of this review is to examine the current literature regarding intraosseous access in trauma resuscitation, focusing on interventions and complication rates.

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Complications of Intraosseous Access

Cox,

Bartosiewicz,

Rieck

et al. 2024

Intraosseous Vascular Access

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Intra-osseous-access-associated lower limb compartment syndrome in a critically injured paediatric patient

Cited by 8 publications

References 12 publications

Application of Intra-Osseous Access in the Critical Care of Patients With Severe Multiple Trauma

Application of Intra-Osseous Access in the Critical Care of Patients With Severe Multiple Trauma

Resuscitation and Evaluation With Intraosseous Access: A Review of the Literature in Trauma and Non-Trauma Patients

Complications of Intraosseous Access

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