Neck CT angiogram (intraosseous vascular access)

Case contributed by Mr Andrew Murphy

Presentation

Sudden drop in GCS post self strangulation, patient has no IV access.

Patient Data

Age: 25 years

Due to the patient's critical condition in conjunction with no IV access,  the decision was made to administer iodinated contrast via an intraosseous injection.

Cardiac pacemaker in situ, ETT noted. Sound opacification of the carotid arteries. No displaced fracture is seen, no vertebral or carotid artery dissection cervical lymphadenopathy is noted.

Case Discussion

This case demonstrates a successful use of administering iodinated contrast via intraosseous vascular access. When contrast is administered into the medullary cavity, it enters venous circulation via intramedullary or emissary vessels.

An intraosseous cannulation is a viable option for critical patients where IV access is not readily available and a contrast scan would make an impact on patient management.

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Case information

rID: 55481
Case created: 8th Sep 2017
Last edited: 9th Sep 2017
System: Trauma
Inclusion in quiz mode: Included
Institution: Princess Alexandra Hospital

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