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Related Experiment Videos

Skin necrosis complicating intraosseous infusion.

D W Christensen1, D D Vernon, W Banner

  • 1Department of Pediatrics, Primary Children's Medical Center, University of Utah School of Medicine, Salt Lake City.

Pediatric Emergency Care
|October 11, 1991
PubMed
Summary

Bone marrow infusion offers rapid vascular access in critically ill children. However, local skin necrosis can occur, necessitating careful monitoring and prompt removal to prevent complications.

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Area of Science:

  • Pediatrics
  • Emergency Medicine
  • Critical Care

Background:

  • Intraosseous (IO) infusion is a recommended method for rapid vascular access in pediatric emergencies.
  • While generally safe, IO infusion can be associated with complications.

Observation:

  • This report details two cases of local skin necrosis following intraosseous infusion in critically ill children.
  • Skin necrosis is a rare but serious complication of this procedure.

Findings:

  • The described cases highlight the potential for local tissue damage, specifically skin necrosis, after IO infusion.
  • Prompt recognition and management are crucial for minimizing adverse outcomes.

Implications:

  • Recommendations include verifying IO catheter placement before infusion.

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  • Continuous monitoring for extravasation and timely removal of the IO device are essential.
  • These measures aim to reduce the incidence of severe complications like skin necrosis.