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Intra-articular Placement of an Intraosseous Catheter

  • Zachary Grabel (a1), J. Mason DePasse (a1), Craig R. Lareau (a1), Christopher T. Born (a1) and Alan H. Daniels (a1)...

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.

Grabel Z , DePasse JM , Lareau CR , Born CT , Daniels AH . Intra-articular Placement of an Intraosseous Catheter. Prehosp Disaster Med. 2015;30(1):1-4 .

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Corresponding author

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

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Conflicts of interest: none

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References

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Intra-articular Placement of an Intraosseous Catheter

  • Zachary Grabel (a1), J. Mason DePasse (a1), Craig R. Lareau (a1), Christopher T. Born (a1) and Alan H. Daniels (a1)...

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