Hostname: page-component-8448b6f56d-cfpbc Total loading time: 0 Render date: 2024-04-19T05:04:31.564Z Has data issue: false hasContentIssue false
  • English
  • Français

Intra-articular Placement of an Intraosseous Catheter

Published online by Cambridge University Press:  08 December 2014

Zachary Grabel ,
J. Mason DePasse ,
Craig R. Lareau ,
Christopher T. Born  and
Alan H. Daniels
Zachary Grabel*
Affiliation:
Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode IslandUSA
J. Mason DePasse
Affiliation:
Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode IslandUSA
Craig R. Lareau
Affiliation:
Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode IslandUSA
Christopher T. Born
Affiliation:
Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode IslandUSA
Alan H. Daniels
Affiliation:
Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode IslandUSA
*
Correspondence: Zachary Grabel, BS Warren Alpert Medical School of Brown University Orthopaedics Department 593 Eddy Street Providence, Rhode Island 02903 USA E-mail zachary_grabel@brown.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Gaining vascular access is essential in the resuscitation of critically ill patients. Intraosseous (IO) placement is a fundamentally important alternative to intravenous (IV) access in conditions where IV access delays resuscitation or is not possible. This case report presents a previously unreported example of prehospital misplacement of an IO catheter into the intra-articular space of the knee joint. This report serves to inform civilian and military first responders, as well as emergency medicine physicians, of intra-articular IO line placement as a potential complication of IO vascular access. Infusion of large amounts of fluid into the joint space could damage the joint and be catastrophic to a patient who needs immediate IV fluids or medications. In addition, intra-articular IO placement could result in septic arthritis of the knee.

GrabelZ, DePasseJM, LareauCR, BornCT, DanielsAH. Intra-articular Placement of an Intraosseous Catheter. Prehosp Disaster Med. 2015;30(1):1-4.

Keywords

intraosseous cathetertraumavascular access
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 30 , Issue 1 , February 2015 , pp. 89 - 92
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Conflicts of interest: none

References

1. Lamhaut, L, Dagron, C, Apriotesei, R, et al. Comparison of intravenous and intraosseous access by prehospital medical emergency personnel with and without CBRN protective equipment. Resuscitation. 2010;81(1):65-68.CrossRefGoogle ScholarPubMed
2. Nolan, JP, Deakin, CD, Soar, J, Böttiger, BW, Smith, G. European Resuscitation Council. European Resuscitation Council guidelines for resuscitation 2005. Section 4. Adult Advanced Life Support. Resuscitation. 2005;67(Suppl 1):S39-86.Google Scholar
3. American Heart Association. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Part 7.2: Management of cardiac arrest. Circulation. 2005;112(4):58-66.Google Scholar
4. Biarent, D, Bingham, R, Richmond, S, et al. European Resuscitation Council guidelines for resuscitation 2005. Section 6. Pediatric life support. Resuscitation. 2005;67(Suppl 1):S97-133.Google Scholar
5. International Liaison Committee on Resuscitation. The International Liaison Committee on Resuscitation consensus on science with treatment recommendations for pediatric and neonatal patients: pediatric Basic and Advanced Life Support. Pediatrics. 2006;117(5):e955-977.CrossRefGoogle Scholar
6. American Heart Association. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Part 12: Pediatric Advanced Life Support. Circulation. 2005;112(4):167-187.Google Scholar
7. LaRocco, BG, Wang, HE. Intraosseous infusion. Prehosp Emerg Care. 2003;7(2):280-285.CrossRefGoogle ScholarPubMed
8. Fowler, R, Gallagher, JV, Isaacs, SM, Ossman, E, Pepe, P, Wayne, M. The role of intraosseous vascular access in the out-of-hospital environment. Prehosp Emerg Care. 2007;11(1):63-66.CrossRefGoogle ScholarPubMed
9. Lowther, A. Intraosseous access and adults in the emergency department. Nursing Standard. 2011;25(48):35-38.Google Scholar
10. Buck, ML, Wiggins, BS, Sesler, JM. Intraosseous drug administration in children and adults during cardiopulmonary resuscitation. Ann Pharmacother. 2007;41(10):1679-1686.Google Scholar
11. Paxton, J. Intraosseous vascular access: a review. Trauma. 2012;14(3):195-232.Google Scholar
12. Reades, R, Studnek, JR, Garrett, JS, Vandeventer, S, Blackwell, T. Comparison of first-attempt success between tibial and humeral intraosseous insertions during out-of-hospital cardiac arrest. Prehosp Emerg Care. 2011;15(2):278-281.Google Scholar
13. Cooper, BR, Mahoney, PF, Hodgetts, TJ, Mellor, A. Intra-osseous access (EZ-IO) for resuscitation: UK military combat experience. J R Army Med Corps. 2007;153(4):314-316.Google Scholar
14. Decoster, TA, Crawford, MK, Kraut, MA. Safe extracapsular placement of proximal tibia transfixation pins. J Orthop Trauma. 2004;18(suppl 8):S43-S47.CrossRefGoogle ScholarPubMed
15. Fenton, P, Bali, N, Sargeant, I, Jeffrey, SL. A complication of the use of an intraosseous needle. J R Army Med Corps. 2009;155(2):110-111.CrossRefGoogle Scholar