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Case Reports in Critical Care
Volume 2016, Article ID 4382481, 5 pages
http://dx.doi.org/10.1155/2016/4382481
Case Report

Bent Metal in a Bone: A Rare Complication of an Emergent Procedure or a Deficiency in Skill Set?

1Department of Internal Medicine, CHI Creighton University Medical Center, Omaha, NE, USA
2Creighton University School of Medicine, Omaha, NE, USA
3Department of Family Medicine, CHI Creighton University Medical Center, Omaha, NE, USA
4Department of Pulmonary and Critical Care, CHI Creighton University Medical Center, Omaha, NE, USA

Received 16 October 2016; Revised 27 October 2016; Accepted 30 October 2016

Academic Editor: Chiara Lazzeri

Copyright © 2016 Mridula Krishnan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intraosseous (IO) access is an important consideration in patients with difficult intravenous (IV) access in emergent situations. IO access in adults has become more popular due to the ease of placement and high success rates. The most common sites of access include the proximal tibia and the humeral head. The complications associated are rare but can be catastrophic: subsequent amputation of a limb has been described in the literature. We report a 25-year-old female presenting with diabetic ketoacidosis (DKA) in whom emergent IO access was complicated by needle bending inside the humerus. Conventional bedside removal was impossible and required surgical intervention in operating room.