What are the risks with the use of IO – infection, leakage, bone not healing?
A. Overall IO experience in thousands of children and adults show the infection rate to be less than 0.6 percent and those are usually not serious and can be treated as outpatients.1 The documented overall complication rate associated with intraosseous insertion and infusion is less than 1 percent. Potential complications include extravasation (leakage), dislodgement of the needle, compartment syndrome, bone fracture, pain related to infusion of medications/fluids and infection. 1Rosetti VA, Thompson BM, Miller J, Mateer JR, Aprahamian C. Intraosseous infusion: an alternative route of pediatric intravascular access.