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Bent Metal in a Bone: A Rare Complication of an Emergent Procedure or a Deficiency in Skill Set?
Mridula Krishnan1, Katherine Lester2, Amber Johnson2
1Department of Internal Medicine, CHI Creighton University Medical Center, Omaha, NE, USA.
Abstract:
Intraosseous (IO) access is an important consideration in patients with difficult intravenous (IV) access in emergent situations. IO access in adults has become more popular due to the ease of placement and high success rates. The most common sites of access include the proximal tibia and the humeral head. The complications associated are rare but can be catastrophic: subsequent amputation of a limb has been described in the literature. We report a 25-year-old female presenting with diabetic ketoacidosis (DKA) in whom emergent IO access was complicated by needle bending inside the humerus. Conventional bedside removal was impossible and required surgical intervention in operating room.
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