Acesso venoso pela via intra-óssea em urgências médicas

Lane, John; Guimarães, Hélio Penna

doi:10.1590/s0103-507x2008000100010

Cited by 3 publications

(12 citation statements)

References 22 publications

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“…Fat emboli is a particularly worrisome event because it may cause fat embolism syndrome, that may result in lung and brain damage 9,10 . Fat embolism was not detected by macroscopic and microscopic evaluations, and is a rare complication related to intraosseous infusion of crystalloid solutions 3 . The fat embolism syndrome is often associated with long bone fractures and bone tissue manipulation, and is caused by the marrow veins' rupture [9][10][11] .…”

Section: Discussionmentioning

confidence: 88%

“…Intraosseous access is widely used for emergency treatment in children and adults 3 , and over 100 drugs and solutions have been reported to be administered by this means 8 . Complications are rare.…”

Section: Discussionmentioning

confidence: 99%

“…Inspired by the techniques of fluid infusion through an intraosseous vascular access 1,2 used in Emergency Rooms 3 , we formulated the hypothesis that an iliac-medullary shunt could maintain limbs viable in case of acute arterial occlusion until the definitive treatment were instituted. To test this hypothesis, we carried out an experiment with dogs.…”

Section: Introductionmentioning

confidence: 99%

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Vascularização temporária de membros isquêmicos por meio de shunt arteriomedular: trabalho experimental

Poerschke¹,

Silveira²,

Lodi³

et al. 2012

J. vasc. bras.

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Background: The authors idealized a temporary shunt between the femoral artery and the medullar canal on long bones to keep the viability of acutely ischemic limbs, while waiting for a definitive treatment. Objective: To assess the flow on temporary shunts between the femoral artery and the marrow canal of the tibia during two hours in experimental dogs, which had the femoral artery interrupted. Methods: Two groups with three dogs on the Control Group and six on the Intervention Group were allocated at random. The controls had the right femoral common artery interrupted. The Intervention Group received a shunt between the iliac external artery and the medullar canal of the right tibia in addition. After two hours, the measure of the pH, blood coloration, blood flow in sonar Doppler on the ischemic limbs were performed. The lungs were withdrawn in thoracic block for anatomic-pathologic analyses. Results: The capillary blood pH average of the limb extremities in the Control Group was 6.97 (±0.39) and in the Intervention Group was 7.25 (±0.46), with p<0.001, and the blood coloration in the Intervention Group kept the bright aspect in all animals. The shunts needed in average three irrigations with saline heparin solution to be kept unobstructed. The macroscopic and microscopic evaluation of the pulmonary tissue did not evidence fat emboli. Conclusion: The artery osseous or artery medullar (marrow) shunt showed to be feasible on the technical point of view in the laboratory.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Vascularização temporária de membros isquêmicos por meio de shunt arteriomedular: trabalho experimental

Poerschke¹,

Silveira²,

Lodi³

et al. 2012

J. vasc. bras.

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“…These events, together or separately, significantly contribute to the difficulty of venipuncture. ( 2 , 15 )…”

Section: Resultsmentioning

confidence: 99%

“…Sternal puncture is contraindicated in children due to the possibility of serious complications, such as transfixation, fracture, hemothorax, and cardiac or large-caliber-vessel injury. ( 3 , 8 , 11 , 15 , 18 )…”

Section: Resultsmentioning

confidence: 99%

Acesso vascular por via intraóssea em emergências pediátricas

Sá¹,

Melo²,

Dantas³

et al. 2012

Rev. bras. ter. intensiva

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Obtaining venous access in critically ill children is an essential procedure to restore blood volume and administer drugs during pediatric emergencies. The first option for vascular access is through a peripheral vein puncture. If this route cannot be used or if a prolonged period of access is necessary, then the intraosseous route is an effective option for rapid and safe venous access. The present work is a descriptive and exploratory literature review. The study's aim was to describe the techniques, professional responsibilities, and care related to obtaining venous access via the intraosseous route in pediatric emergencies. We selected 22 articles (published between 2000 and 2011) that were available in the Latin American and Caribbean Health Sciences (LILACS) and MEDLINE databases and the SciELO electronic library, in addition to the current protocol of cardiopulmonary resuscitation from the American Heart Association (2010). After the literature search, data were pooled and grouped into the following categories of analysis: historical aspects and physiological principles; indications, benefits, and contraindications; professional assignments; technical principles; care during the access; and possible complications. The results of the present study revealed that the intraosseous route is considered the main secondary option for vascular access during the emergency response because the technique is quick and easily executed, presents several non-collapsible puncture sites, and enables the rapid and effective administration of drugs and fluid replacement.

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Acesso Venoso e Punção Arterial

Ogliari

Filho

2021

VITTALLE, ISSN 1413-3563, Rio Grande, Brasil

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O acesso vascular é fundamental para a administração parenteral de fluidos ou medicamentos. Dessa forma, além de outros profissionais da saúde, cabe também ao médico o conhecimento da técnica e a capacidade de realizar esse procedimento. É importante salientar que existem dois principais tipos de acesso: o periférico e o central, os quais devem ser escolhidos devido a características que serão abordadas ao longo desse capítulo. Existe também a opção do acesso intraósseo, o qual também será brevemente relatado neste capítulo, bem como punções arteriais.

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Acesso venoso pela via intra-óssea em urgências médicas

Cited by 3 publications

References 22 publications

Vascularização temporária de membros isquêmicos por meio de shunt arteriomedular: trabalho experimental

Vascularização temporária de membros isquêmicos por meio de shunt arteriomedular: trabalho experimental

Acesso vascular por via intraóssea em emergências pediátricas

Acesso Venoso e Punção Arterial

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