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Orthopedic management of complications of using intraosseous catheters

Brian Barlow1, Kevin Kuhn

  • 1Department of Orthopedic Surgery, Naval Medical Center, San Diego, CA. brianbarlow05@gmail.com.

American Journal of Orthopedics (Belle Mead, N.J.)
|April 15, 2014
PubMed

Insights

Intraosseous (IO) catheters offer reliable vascular access in emergencies. While complications are rare (2.1%), orthopedic surgeons manage these rare cases, highlighting the need for awareness of potential IO catheter issues.

Area of Science:

  • Emergency Medicine
  • Orthopedic Surgery
  • Pediatric Critical Care

Background:

  • Intraosseous (IO) catheters are increasingly used for vascular access in critically ill and trauma patients.
  • Their efficacy in pediatric patients with difficult vascular access is well-established.
  • Literature on IO catheter complications remains limited.

Purpose of the Study:

  • To review the existing literature on complications associated with intraosseous catheter use.
  • To report two cases of orthopedic management for IO catheter-related complications.

Main Methods:

  • A comprehensive literature search was conducted to identify studies on IO catheter complications.
  • Analysis of 5,759 patients treated with IO catheters.
  • Case report of two patients requiring orthopedic intervention for IO catheter complications.

Main Results:

  • The overall complication rate for IO catheter use was found to be 2.1%.
  • The study highlights the relative scarcity of reported complications.
  • Two distinct cases requiring orthopedic surgical management were detailed.

Conclusions:

  • Intraosseous catheterization is a valuable tool with a low complication rate.
  • Orthopedic surgeons play a role in managing the infrequent complications arising from IO catheter use.
  • Further research into IO catheter complications and their management is warranted.

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