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Case report
Long-term follow-up of two patients with retained intraosseous sternal needles
  1. James M Hodgetts1,
  2. A Johnston2 and
  3. J Kendrew3
  1. 1Department of Trauma and Orthopaedics, Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, UK
  2. 2Intensive Care, Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK
  3. 3Department of Trauma and Orthopaedics, Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK
  1. Correspondence to Capt James M Hodgetts, Department of Trauma and Orthopaedics, Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, UK; jamesh6488{at}hotmail.com

Abstract

Sternal intraosseous devices are widely used in both civilian and military trauma when vascular access is difficult to establish. We discuss a rare complication of intraosseous needle insertion in two patients where the needle tip remained in the sternum after the device had been removed. Neither patient had evidence of any complication of the retained intraosseous needle tip after >6 years of follow-up.

  • ACCIDENT & EMERGENCY MEDICINE
  • INTENSIVE & CRITICAL CARE

https://doi.org/10.1136/jramc-2016-000699

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    Footnotes

    • Twitter Follow Andrew Johnston @drewmcdj

    • Contributors JK and AJ identified the patients. JK and JMH consented the patients. JMH wrote the first draft with assistance from AJ. JMH and AJ found and edited the imaging. JMH submitted and responded to review comments. JMH, AJ and JK edited final draft.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Ethics approval Army Medical Services.

    • Provenance and peer review Not commissioned; externally peer reviewed.