• Prehosp Disaster Med · Feb 2015

    Case Reports

    Intra-articular Placement of an Intraosseous Catheter.

    • Zachary Grabel, J Mason DePasse, Craig R Lareau, Christopher T Born, and Alan H Daniels.
    • Department of Orthopaedics,Warren Alpert Medical School of Brown University,Providence,Rhode IslandUSA.
    • Prehosp Disaster Med. 2015 Feb 1;30(1):89-92.

    AbstractGaining 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.

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