Bent Metal in a Bone: A Rare Complication of an Emergent Procedure or a Deficiency in Skill Set?

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 humera...

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Detalles Bibliográficos
Autores principales: Krishnan, Mridula, Lester, Katherine, Johnson, Amber, Bardeloza, Kaye, Edemekong, Peter, Berim, Ilya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5149611/
https://www.ncbi.nlm.nih.gov/pubmed/28018682
http://dx.doi.org/10.1155/2016/4382481
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author Krishnan, Mridula
Lester, Katherine
Johnson, Amber
Bardeloza, Kaye
Edemekong, Peter
Berim, Ilya
author_facet Krishnan, Mridula
Lester, Katherine
Johnson, Amber
Bardeloza, Kaye
Edemekong, Peter
Berim, Ilya
author_sort Krishnan, Mridula
collection PubMed
description 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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spelling pubmed-51496112016-12-25 Bent Metal in a Bone: A Rare Complication of an Emergent Procedure or a Deficiency in Skill Set? Krishnan, Mridula Lester, Katherine Johnson, Amber Bardeloza, Kaye Edemekong, Peter Berim, Ilya Case Rep Crit Care Case Report 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. Hindawi Publishing Corporation 2016 2016-11-27 /pmc/articles/PMC5149611/ /pubmed/28018682 http://dx.doi.org/10.1155/2016/4382481 Text en Copyright © 2016 Mridula Krishnan et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Krishnan, Mridula
Lester, Katherine
Johnson, Amber
Bardeloza, Kaye
Edemekong, Peter
Berim, Ilya
Bent Metal in a Bone: A Rare Complication of an Emergent Procedure or a Deficiency in Skill Set?
title Bent Metal in a Bone: A Rare Complication of an Emergent Procedure or a Deficiency in Skill Set?
title_full Bent Metal in a Bone: A Rare Complication of an Emergent Procedure or a Deficiency in Skill Set?
title_fullStr Bent Metal in a Bone: A Rare Complication of an Emergent Procedure or a Deficiency in Skill Set?
title_full_unstemmed Bent Metal in a Bone: A Rare Complication of an Emergent Procedure or a Deficiency in Skill Set?
title_short Bent Metal in a Bone: A Rare Complication of an Emergent Procedure or a Deficiency in Skill Set?
title_sort bent metal in a bone: a rare complication of an emergent procedure or a deficiency in skill set?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5149611/
https://www.ncbi.nlm.nih.gov/pubmed/28018682
http://dx.doi.org/10.1155/2016/4382481
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