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Intraosseous infusion for resuscitation.

I G Ryder¹, H M Munro, I J Doull

¹Shackleton Department of Anaesthetics, Southampton General Hospital.

Archives of Disease in Childhood

|December 1, 1991

Summary

A pediatric cardiac arrest due to gastrointestinal bleeding was successfully treated with intraosseous infusion in an infant. The child recovered fully without neurological deficits.

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Area of Science:

Pediatric critical care
Emergency medicine
Neonatal resuscitation

Background:

Gastrointestinal hemorrhage is a rare but serious cause of cardiac arrest in infants.
Intraosseous (IO) infusion is a critical route for fluid and medication delivery in pediatric emergencies when intravenous access is difficult.
Prompt recognition and intervention are vital for favorable outcomes in pediatric cardiac arrest.

Observation:

An 11-week-old infant presented with cardiac arrest secondary to severe gastrointestinal bleeding.
Intraosseous access was established, and resuscitation efforts were initiated.
The infant responded to the interventions, and hemodynamic stability was achieved.

Findings:

Successful resuscitation from cardiac arrest was achieved using intraosseous infusion.
The infant's gastrointestinal hemorrhage was managed effectively.
The patient was discharged with no discernible neurological impairment.

Implications:

This case highlights the efficacy of intraosseous infusion in pediatric emergencies, particularly in cases of cardiac arrest due to gastrointestinal hemorrhage.
Early and appropriate management can lead to excellent neurological outcomes in critically ill infants.
Intraosseous access should be considered a primary resuscitation technique in neonates and infants when intravenous access is challenging.

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