骨内通路的并发症：来自单个中心的两例病例报告。

Complications of Intraosseous Access: Two Case Reports From a Single Center.

机构信息

Department of Orthopaedics & Rehabilitation, Oregon Health and Science University, Portland, Oregon.

出版信息

JBJS Case Connect. 2021 Apr 20;11(2):01709767-202106000-00038. doi: e19.00382.

DOI:10.2106/JBJS.CC.19.00382

PMID:33979829

Abstract

CASES

Intraosseous (IO) access is an effective surrogate for intravascular access in critically ill patients. We present 2 cases of IO complications. The first patient is a 44-year-old man with deep peroneal nerve sensorimotor dysfunction due to possible missed acute compartment syndrome from improper placement of a tibial IO needle. The second patient is an immunosuppressed 69-year-old man with idiopathic factor VIII deficiency who required amputation 7 months after right tibia IO access.

CONCLUSION

These adverse events of IO access are limited in the literature. We make recommendations to reduce these outcomes.

摘要

病例

在危重症患者中，骨髓内（IO）通路是一种有效的血管内通路替代方法。我们报告了 2 例 IO 并发症。第一例患者为 44 岁男性，由于胫骨 IO 针的不当放置，可能导致急性间隔综合征漏诊，出现腓深神经感觉运动功能障碍。第二例患者为 69 岁免疫抑制患者，患有特发性因子 VIII 缺乏症，在右胫骨 IO 通路后 7 个月需要截肢。