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Pediatric emergency care · Jun 2014
Case ReportsCrural amputation of a newborn as a consequence of intraosseous needle insertion and calcium infusion.
- Gorm Erlend Oesterlie, Klaus Kjaer Petersen, Lars Knudsen, and Tine Brink Henriksen.
- From the Departments of *Orthopaedic Surgery, †Anesthesia and Intensive Care, and ‡Pediatrics, Aarhus University Hospital, Aarhus, Denmark.
- Pediatr Emerg Care. 2014 Jun 1; 30 (6): 413414413-4.
AbstractIntraosseous needle insertion and infusion is considered an easy and reliable method of achieving a vascular access in acute circulatory collapse where other methods have not been successful within reasonable time. Complications are considered few but may be serious. We present a case of a newborn girl, where intraosseous cannulation of the tibia was lifesaving. Despite following most standard recommendations, the treatment resulted in transtibial amputation due to necrosis. We suspect that the necrosis was a consequence of extravasation of tissue-toxic calcium infusion.
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