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August 29, 1966

Emergency Establishment Of Intravenous Route

Author Affiliations

Chattanooga, Tenn

JAMA. 1966;197(9):732. doi:10.1001/jama.1966.03110090096032

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To the Editor:—  A question concerning the direct administration of fluid into the bone marrow arose (196: 1101, 1966).In my experience, I have administered fluid, on three separate occasions, in this manner. Two of the patients had extensive burns of the four extremities, which prevented the use of peripheral veins. In these two cases, intravenous fluids, including electrolyte solutions and vitamins, as well as whole blood, were administered through a bonemarrow needle inserted into the marrow cavity of the sternum. In the other case, the peripheral routes of intravenous replacement were exhausted as a result of continuous long-term intravenous therapy, and in this case a bone-marrow needle was inserted into the iliac crest and fluid replacement was carried on through the iliac bone marrow. In all three of these patients, fluids ran well and no complications attributable to the route of administration arose.