Article |

Emergency Bone Marrow Infusions-Reply

Am J Dis Child. 1985;139(5):439. doi:10.1001/archpedi.1985.02140070012004.
Text Size: A A A
Published online

In Reply.—Dr Turkel has certainly contributed a great deal in the field of intraosseous infusions.1,2 He refers to a study3 of "massive arsenotherapy" delivered by bone marrow infusion in seven rabbits. Four rabbits developed asymptomatic pulmonary fat emboli and one died suddenly from fat embolism. A sharp, 18-gauge needle with fitted stylet was used in all the animals. It is unclear what role the infusion agent (massive arsenotherapy) had in the development of these fat emboli. Two studies in the mid-1940s described 70 intraosseous infusions in children using the Turkel trephine technique without evidence of pulmonary emboli.1,4 Additionally, Heinild et al5 utilized a standard bone marrow needle approach on 982 infusions in children without evidence of pulmonary emboli. Meola,6 in children, and Valdes, 7 in adults, demonstrated the safety of 341 bone marrow infusions with simple hypodermic needles, again without evidence of pulmonary emboli.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.