PMID: 8943107Nov 1, 1996Paper

Compartment syndrome after intraosseous infusion: an experimental study in dogs

Journal of Pediatric Surgery
I GünalD Gürer

Abstract

An experimental study was designed to investigate the development of compartment syndrome with the use of an intraosseous line in dogs. We used an open technique for insertion of a 20-gauge spinal needle to the tibia. The needle was secured to the tibia with bone cement. Throughout the intraosseous infusion of saline with radio-opaque dye (rate, 480 mL/h), serial radiographic examination and pressure monitoring of the anterolateral compartment of the leg was performed. Although there was no change up to approximately 350 mL of fluid infusion, the radio-opaque dye was detected in the soft tissues and compartment pressure increased to more than 35 mm Hg. Compartment pressure continued to increase in direct proportion to the amount of dye infused. In the present study, the possible technical errors, which may cause compartment syndrome, have been eliminated. However, compartment syndrome developed because of the failure of microvasculature within a muscle adjacent to bone. We suggest that there is a need for a dose-and time-dependent scale for safe intraosseous infusion.

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Citations

Feb 17, 2010·International Journal of Emergency Medicine·Adeline Su-Yin NgoMarcus Eng Hock Ong
Oct 21, 2003·The Journal of Trauma·Franck LaunayG Bollini
Feb 24, 2001·American Journal of Veterinary Research·S C GrecoP E Eisenbeis
Apr 1, 2012·Trauma Monthly·Mehrdad Hosseinpour, Mohammad Khodaiari
Dec 3, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·J CotteE Kaiser
Dec 2, 2008·The American Journal of Emergency Medicine·Marcus Eng Hock OngAdeline Su-Yin Ngo
May 5, 2012·Journal of Veterinary Emergency and Critical Care·Lindsey K Nielsen, Megan Whelan
Aug 21, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Lucas A MyersChristopher S Russi
Oct 31, 2018·European Journal of Anaesthesiology·Jake Turner, Karl-Christian Thies
Nov 18, 2008·Annals of Saudi Medicine·Al-Ayed Tareq
Jan 1, 2013·JBJS Case Connector·Albert d'Heurle, Michael T Archdeacon

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