An intraosseous blood transfusion in a critically ill child
An intraosseous infusion (IO) is a safe and simple method to administer fluid in an emergency situation and can be used to gain rapid vascular access in a critically ill child. Fluids and drugs can be infused as well as blood boluses, but very few cases describe the infusion of blood products. Case...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2014-06-01
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| Series: | African Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211419X13000724 |
| _version_ | 1818140781863501824 |
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| author | E. Chansa K. Hansen B. Gustafsson |
| author_facet | E. Chansa K. Hansen B. Gustafsson |
| author_sort | E. Chansa |
| collection | DOAJ |
| description | An intraosseous infusion (IO) is a safe and simple method to administer fluid in an emergency situation and can be used to gain rapid vascular access in a critically ill child. Fluids and drugs can be infused as well as blood boluses, but very few cases describe the infusion of blood products.
Case Report: In this case study we report of a successful transfusion of fluid and blood by IO to a 31 months old child, who had suffered severe epistaxis for 12 hours. The child was unconscious at time of admission and the hemoglobin (Hb) level was measured to 3.6 g/dl. Through an IO in the proximal tibia, 300 ml of fluid was first infused, followed by 200 ml of blood.
Discussion: We conclude that IO should be placed without delay when venous access is not rapidly obtained. |
| first_indexed | 2024-12-11T10:49:27Z |
| format | Article |
| id | doaj.art-ab0dfaa23e5444e2b78179a4a9ff7ac1 |
| institution | Directory Open Access Journal |
| issn | 2211-419X |
| language | English |
| last_indexed | 2024-12-11T10:49:27Z |
| publishDate | 2014-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | African Journal of Emergency Medicine |
| spelling | doaj.art-ab0dfaa23e5444e2b78179a4a9ff7ac12022-12-22T01:10:22ZengElsevierAfrican Journal of Emergency Medicine2211-419X2014-06-0142838510.1016/j.afjem.2013.05.003An intraosseous blood transfusion in a critically ill childE. Chansa0K. Hansen1B. Gustafsson2Mpongwe District Health Office, Mpongwe, Copperbelt, ZambiaDepartment of Infectious Diseases, Skåne University Hospital, Malmö, SwedenAstrid Lindgren Children’s Hospital and Karolinska University Hospital-Huddinge, Department of Clinical Science, Intervention and Technology, CLINTEC, Karolinska Institutet, Stockholm, SwedenAn intraosseous infusion (IO) is a safe and simple method to administer fluid in an emergency situation and can be used to gain rapid vascular access in a critically ill child. Fluids and drugs can be infused as well as blood boluses, but very few cases describe the infusion of blood products. Case Report: In this case study we report of a successful transfusion of fluid and blood by IO to a 31 months old child, who had suffered severe epistaxis for 12 hours. The child was unconscious at time of admission and the hemoglobin (Hb) level was measured to 3.6 g/dl. Through an IO in the proximal tibia, 300 ml of fluid was first infused, followed by 200 ml of blood. Discussion: We conclude that IO should be placed without delay when venous access is not rapidly obtained.http://www.sciencedirect.com/science/article/pii/S2211419X13000724Intraosseous blood transfusionIntravenous access |
| spellingShingle | E. Chansa K. Hansen B. Gustafsson An intraosseous blood transfusion in a critically ill child African Journal of Emergency Medicine Intraosseous blood transfusion Intravenous access |
| title | An intraosseous blood transfusion in a critically ill child |
| title_full | An intraosseous blood transfusion in a critically ill child |
| title_fullStr | An intraosseous blood transfusion in a critically ill child |
| title_full_unstemmed | An intraosseous blood transfusion in a critically ill child |
| title_short | An intraosseous blood transfusion in a critically ill child |
| title_sort | intraosseous blood transfusion in a critically ill child |
| topic | Intraosseous blood transfusion Intravenous access |
| url | http://www.sciencedirect.com/science/article/pii/S2211419X13000724 |
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