Leg ischemia complicating the intraosseous infusion of epinephrine

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“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.” Maurin et al (2014).

Reference:

Maurin, O., de Régoix, S., Legonidec, E., Tourtier, J.P. and Kaiser, E. (2014) Leg ischemia complicating the intraosseous infusion of epinephrine for a Djiboutian child. Médecine et Santé Tropicales. May 22nd. [epub ahead of print].

Abstract:

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.

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