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"Intraosseous (IO) access is an effective surrogate for intravascular access in critically ill patients. We present 2 cases of IO complications" Arakawa et al (2021).

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.

Reference:

Arakawa J, Woelber E, Working Z, Meeker J, Friess D. Complications of Intraosseous Access: Two Case Reports From a Single Center. JBJS Case Connect. 2021 Apr 20;11(2). doi: 10.2106/JBJS.CC.19.00382. PMID: 33979829.