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Complications of interosseous infusion resulting in a diagnostic dilemma
Successful revival of a patient with cardiac arrest need vigilant effort on behalf of whole team but sometimes missing a small thing can create disaster. Here we present a case of 58 years old obese lady who was revived from a cardiac arrest secondary to septic shock. Obstruction due to proximal ure...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7076247/ https://www.ncbi.nlm.nih.gov/pubmed/32195310 http://dx.doi.org/10.1016/j.tcr.2020.100289 |
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author | Khan, Mohammad Noah Hasan Jamal, Abdul Basit Anjum, Syed Neshat |
author_facet | Khan, Mohammad Noah Hasan Jamal, Abdul Basit Anjum, Syed Neshat |
author_sort | Khan, Mohammad Noah Hasan |
collection | PubMed |
description | Successful revival of a patient with cardiac arrest need vigilant effort on behalf of whole team but sometimes missing a small thing can create disaster. Here we present a case of 58 years old obese lady who was revived from a cardiac arrest secondary to septic shock. Obstruction due to proximal ureteric stone was relieved with JJ stent insertion. She required renal replacement therapy and invasive ventilation. Fever and inflammatory blood markers improved and she woke up after 6 days in intensive care unit (ICU). She developed another episode of sepsis but this time it was her shoulder that was hurting. Initially it was thought to be an iatrogenic skeletal injury during aggressive cardiopulmonary resuscitation (CPR) but radiographs came out to be normal. Magnetic resonance imaging (MRI) created more confusion by showing septic arthritis with proximal humeral osteomyelitis and gas formation. MRI suggested that it might be the sequelae of an intraosseous line insertion. All documented records were silent regarding the intraosseous line insertion. Resuscitation team was contacted and inquired. They confirmed the insertion of intraosseous line insertion during initial resuscitation which was removed after securing peripheral vascular access and before transferring the patient to ICU but they forgot to document. Her shoulder joint was washed out and debrided arthroscopically. She made a safe recovery without any other problem. |
format | Online Article Text |
id | pubmed-7076247 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-70762472020-03-19 Complications of interosseous infusion resulting in a diagnostic dilemma Khan, Mohammad Noah Hasan Jamal, Abdul Basit Anjum, Syed Neshat Trauma Case Rep Case Report Successful revival of a patient with cardiac arrest need vigilant effort on behalf of whole team but sometimes missing a small thing can create disaster. Here we present a case of 58 years old obese lady who was revived from a cardiac arrest secondary to septic shock. Obstruction due to proximal ureteric stone was relieved with JJ stent insertion. She required renal replacement therapy and invasive ventilation. Fever and inflammatory blood markers improved and she woke up after 6 days in intensive care unit (ICU). She developed another episode of sepsis but this time it was her shoulder that was hurting. Initially it was thought to be an iatrogenic skeletal injury during aggressive cardiopulmonary resuscitation (CPR) but radiographs came out to be normal. Magnetic resonance imaging (MRI) created more confusion by showing septic arthritis with proximal humeral osteomyelitis and gas formation. MRI suggested that it might be the sequelae of an intraosseous line insertion. All documented records were silent regarding the intraosseous line insertion. Resuscitation team was contacted and inquired. They confirmed the insertion of intraosseous line insertion during initial resuscitation which was removed after securing peripheral vascular access and before transferring the patient to ICU but they forgot to document. Her shoulder joint was washed out and debrided arthroscopically. She made a safe recovery without any other problem. Elsevier 2020-03-13 /pmc/articles/PMC7076247/ /pubmed/32195310 http://dx.doi.org/10.1016/j.tcr.2020.100289 Text en Crown Copyright © 2020 Published by Elsevier Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Khan, Mohammad Noah Hasan Jamal, Abdul Basit Anjum, Syed Neshat Complications of interosseous infusion resulting in a diagnostic dilemma |
title | Complications of interosseous infusion resulting in a diagnostic dilemma |
title_full | Complications of interosseous infusion resulting in a diagnostic dilemma |
title_fullStr | Complications of interosseous infusion resulting in a diagnostic dilemma |
title_full_unstemmed | Complications of interosseous infusion resulting in a diagnostic dilemma |
title_short | Complications of interosseous infusion resulting in a diagnostic dilemma |
title_sort | complications of interosseous infusion resulting in a diagnostic dilemma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7076247/ https://www.ncbi.nlm.nih.gov/pubmed/32195310 http://dx.doi.org/10.1016/j.tcr.2020.100289 |
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