Bone Marrow Infusions: Intratibial and Intravenous Routes Compared

Massey, LA

doi:10.1136/bmj.2.4672.197

Cited by 14 publications

(4 citation statements)

References 9 publications

(9 reference statements)

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“…This led the author to conclude that 'the fact of its occurrence at all is due to bacteria already in the blood stream looking for a suitable nidus' (Ellison, 1945). Comparable rates of osteomyelitis associated with both IO and PIV infusions were reported by other authors of the time (Tocantins and O'Neill, 1945;Massey, 1950), illustrating the likely role of poor sterile technique in the high incidence of IO-associated osteomyelitis during this time period.…”

Section: Osteomyelitismentioning

confidence: 94%

“…However, some authors have reported up to 30 days of infusion through an IO needle without any infectious complications (Valdes, 1977). In 1950, Massey was the first to report the rate of osteomyelitis to be around 0.6%, which was reiterated in Rosetti's review of the literature in 1985 (Massey, 1950;Rosetti et al, 1985). Since 1985, five cases of osteomyelitis attributed to IO infusion have been reported (Platt et al, 1993;Stoll et al, 2002;Claudet et al, 2003;Dog˘an et al, 2004;Henson et al, 2011).…”

Section: Osteomyelitismentioning

confidence: 99%

“…Skin or bone ‘pressure necrosis’ was a well-known complication of manual IO devices in the 1940s, due to too short a needle being used with resultant excessive pressure on the overlying tissue/periosteum surrounding the needle. These were generally self-limiting and did not require intervention (Massey, 1950). Extensive tissue damage due to the subcutaneous extravasation of norepinephrine administered through a dislodged IO needle was described by Pillar (1954) as early as 1954.…”

Section: Complicationsmentioning

confidence: 99%

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Intraosseous vascular access: A review

Paxton

2012

Trauma

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Intraosseous cannulation is an increasingly common means of achieving vascular access for the administration of fluids and medications during the emergent resuscitation of both paediatric and adult patients. Improved tools and techniques for intraosseous vascular access have recently been developed, enabling the healthcare provider to choose from a wide range of devices and insertion sites. Despite its increasing popularity within the adult population, and decades of use in the paediatric population, questions remain regarding the safety and efficacy of intraosseous infusion. Although various potential complications of intraosseous cannulation have been theorized, few serious complications have been reported. This article aims to provide a review of the current literature on intraosseous vascular access, including discussion on the various intraosseous devices currently available in the market, the advantages and disadvantages of intraosseous access compared to conventional vascular access methods, complications of intraosseous cannulation and current recommendations on the use of this approach.

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Section: Osteomyelitismentioning

confidence: 94%

Section: Osteomyelitismentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

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Intraosseous vascular access: A review

Paxton

2012

Trauma

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“…There are few data about the prevalence of osteomyelitis in birds associated of fluid therapy administration by this route. However, some studies in humans showed only a 0.6% prevalence of osteomyelitis patients submitted to intraosseous infusion (Massey 1950, Rosetti et al 1985.…”

Section: Introductionmentioning

confidence: 99%

Lactated Ringer's solution or 0.9% sodium chloride as fluid therapy in pigeons (Columba livia) submitted to humerus osteosynthesis

et al. 2015

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The study aimed to compare the effects of intraosseous infusion of lactated Ringer's and 0.9% sodium chloride solutions on the electrolytes and acid-base balance in pigeons submitted to humerus osteosynthesis. Eighteen pigeons were undergoing to isoflurane anesthesia by an avalvular circuit system. They were randomly assigned into two groups (n=9) receiving lactated Ringer's solution (LR) or 0.9% sodium chloride (SC), in a continuous infusion rate of 20mL/kg/h, by using an intraosseous catheter into the tibiotarsus during 60-minute anesthetic procedure. Heart rate (HR), and respiratory rate (RR) were measured every 10 min. Venous blood samples were collected at 0, 30 and 60 minutes to analyze blood pH, PvCO2, HCO3 -, Na+ and K+. Blood gases and electrolytes showed respiratory acidosis in both groups during induction, under physical restraint. This acidosis was evidenced by a decrease of pH since 0 min, associated with a compensatory response, observed by increasing of HCO3 - concentration, at 30 and 60 min. It was not observed any changes on Na+ and K+ serum concentrations. According to the results, there is no reason for choosing one of the two solutions, and it could be concluded that both fluid therapy solutions do not promote any impact on acid-base balance and electrolyte concentrations in pigeons submitted to humerus osteosynthesis.

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