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Intraosseous infusion of phenytoin
The American Journal of Emergency Medicine
|November 1, 1986
Insights
Intraosseous drug administration is a life-saving option for critically ill children when other vascular access methods fail. This case study shows successful seizure control and therapeutic levels using intraosseous phenytoin.
Area of Science:
- Pediatric Critical Care Medicine
- Emergency Medicine
- Pharmacology
Background:
- Intraosseous (IO) access is a crucial method for emergency fluid and medication delivery in pediatric patients.
- Establishing vascular access can be challenging in critically ill children, necessitating alternative routes.
Abstract:
In the critically ill child, administration of fluids and medications via the intraosseous route often proves life-saving. The authors describe the case of a child with status epilepticus in whom phenytoin was administered via the intraosseous route, and seizure resolution and therapeutic serum levels were achieved. Intraosseous drug administration should be reserved for the rare critically ill child in whom vascular access proves impossible.