COMPLICATIONS OF INTRA-OSSEOUS THERAPY

Abstract

The technic of transfusions via the bone marrow was introduced by Tocantins in 1940. At that time he stressed 4 precautions which should be observed. There has been wide application of the method and reports on the whole have been favorable. However, there have been some serious complications because of disregard of reasonable precautions. Some of the reported complications are reviewed and the errors in technic pointed out. It is essential that the method should be used only by those who have practised the technical steps on the cadaver before attempting the procedure on patients. The operator should also be thoroughly familiar with the best anatomic sites in infants and adults and the correct position of inserted needles. Figures 5-13 illustrate correct and incorrect needle positions. When proper technic is used by an experienced person the risks from bone infusions are no greater than any other form of parenteral therapy. The authors have performed over 400 intraosseous infusions with no serious complications. 43 references.