Cerebral arterial air embolism in a child after intraosseous infusion

Abstract

Cerebral arterial air embolism (CAAE) has been reported as a rare complication of medical intervention. There has been one reported case of CAAE after the use of an intraosseous infusion (IO) system. We report on a case of CAAE after tibial IO infusion in a 7-month-old girl during resuscitation.

Intraosseous Devices: A Randomized Controlled Trial Comparing Three Intraosseous Devices

“…The overall median insertion time was 50 (P 25 -P 75 34-62) seconds. In the adult group, the Jamshidi 15G was placed fastest (median insertion time 37 seconds; P 25 -P 75 [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49]. This was significantly faster than placement of F.A.S.T.1.…”

Intraosseous Line Use, Complications, and Outcomes Among a Population-Based Cohort of Children Presenting to California Hospitals

“…Several complications of IO line use have been described in case reports, including compartment syndrome, 17Y24 tibia fracture, 8,25,26 osteomyelitis, 27Y29 cerebral arterial air embolism, 30 fat embolism, 31 and skin necrosis. 32 Infiltration/extravasation at the injection site has also been reported.…”

Four years of EZ-IO® system in the preand in-hospital emergency setting

“…Inserting an IVA is a very common procedure that is performed daily by all physicians of our study. Furthermore, the IOA is a more invasive tool, since there is the potential risk for severe complications after intraosseous insertions, such as extravasation with following compartment syndrome [16,17], bone fracture [18,19], cerebral air embolism [20] or osteomyelitis [21]. The infection risk can be minimized if the intraosseous needle is removed within 24 hours.…”