Intraosseous extravasation complication reports

Ann Emerg Med. 1994 Feb;23(2):363-6. doi: 10.1016/s0196-0644(94)70053-2.


We report two cases of severe complications from intraosseous infusions. One child was a sudden infant death syndrome patient who developed severe tissue necrosis after intraosseous placement. The second child was a near drowning who developed a compartment syndrome requiring fasciotomy. Extravasation is a potentially major complication that resulted in these limb-threatening events. Intraosseous infusion remains an important resuscitation modality, but great care must be taken to avoid these results. Strategies for avoiding extravasation are discussed.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Emergencies
  • Extravasation of Diagnostic and Therapeutic Materials / complications*
  • Fatal Outcome
  • Female
  • Humans
  • Infant
  • Infusions, Intraosseous / adverse effects*
  • Male
  • Resuscitation