An intraosseous blood transfusion in a critically ill child

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Abstract

Introduction 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.

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Chansa, E., Hansen, K., & Gustafsson, B. (2014). An intraosseous blood transfusion in a critically ill child. African Journal of Emergency Medicine, 4(2), 83–85. https://doi.org/10.1016/j.afjem.2013.05.003

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