PEDIATRICS Vol. 91 No. 6 June 1993, pp. 1201-1202
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Compartment Syndrome Following Intraosseous Infusion

R. VIDAL MD1, N. KISSOON MD1, and M. GAYLE MD1

1 Division of Pediatric Critical Care Medicine, University of Florida Health Science Center/Jacksonville

Cannulation of an intraosseous (IO) site allows rapid access to the vascular space under emergency conditions. With increasing acceptance of this technique, some of its complications are now being fully appreciated. We present a case of a child who developed compartment syndrome and had a lower extremity amputation after infusion of fluids through an IO needle inserted in the proximal tibia. This case is presented to highlight the precautions that may prevent compartment syndrome. Additional emphasis is placed on early recognition and aggressive treatment of compartment syndrome to preserve function in the affected limb.

CASE REPORT

A 1-month-old infant with fever and irritability was treated at a community hospital.

Submitted on January 11, 1993
Accepted on January 11, 1993




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