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Intra-articular Placement of an Intraosseous Catheter

Published online by Cambridge University Press:  08 December 2014

Zachary Grabel ,
J. Mason DePasse ,
Craig R. Lareau ,
Christopher T. Born  and
Alan H. Daniels
Zachary Grabel*
Affiliation:
Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode IslandUSA
J. Mason DePasse
Affiliation:
Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode IslandUSA
Craig R. Lareau
Affiliation:
Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode IslandUSA
Christopher T. Born
Affiliation:
Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode IslandUSA
Alan H. Daniels
Affiliation:
Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode IslandUSA
*
Correspondence: Zachary Grabel, BS Warren Alpert Medical School of Brown University Orthopaedics Department 593 Eddy Street Providence, Rhode Island 02903 USA E-mail [email protected]
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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.

GrabelZ, DePasseJM, LareauCR, BornCT, DanielsAH. Intra-articular Placement of an Intraosseous Catheter. Prehosp Disaster Med. 2015;30(1):1-4.

Keywords

intraosseous cathetertraumavascular access
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 30 , Issue 1 , February 2015 , pp. 89 - 92
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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Footnotes

Conflicts of interest: none

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