Intraosseous vascular access

Faminu, Femi

doi:10.1097/01.nurse.0000451529.25093.4b

Cited by 2 publications

(8 citation statements)

References 9 publications

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“…In the management of health care, it is essential to carry out a rapid intervention, in order to reduce the probability of morbidity and mortality and favor the recovery of the patient [ 3 , 4 ]. The appropriate intraosseous device must be chosen for the insertion site and the patient’s situation [ 5 , 6 , 7 , 8 ]. To describe the benefits and harms of using an intraosseous access compared to venous access, [ 2 , 4 ] both the localization and insertion techniques of the IO are simple [ 5 , 6 , 7 ].…”

Section: Resultsmentioning

confidence: 99%

“…The appropriate intraosseous device must be chosen for the insertion site and the patient’s situation [ 5 , 6 , 7 , 8 ]. To describe the benefits and harms of using an intraosseous access compared to venous access, [ 2 , 4 ] both the localization and insertion techniques of the IO are simple [ 5 , 6 , 7 ]. The percentage of complications is minimal (<1%) [ 8 , 9 , 10 , 11 ].…”

Section: Resultsmentioning

confidence: 99%

“…Faminu F. shows that the absence of immediate venous access can lead to increased morbidity and mortality in patients [ 1 , 6 ]. Authors such as Janneth R., argue that IO should only be used in situations involving a vital emergency and for a limited time, when venous access is inaccessible and it is a temporary measure until a venous line is achieved [ 6 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the insertion sites are not the same in adult and pediatric patients. Generally, IO vascular access catheters are placed at the proximal and distal ends of long bones, because compact bone is thinner and has a greater abundance of cancellous bone [ 5 , 6 ]. Anatomically, in the medullary space of the bone we can find red and yellow bone marrow, apart from a hypercoagulable fibrin mesh.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, it is necessary to perform a rapid wash with physiological saline at 9% and begin with the administration of medications and fluids. Depending on the insertion site, fluids drain into the proximal humerus and drains into the axillary vein, the proximal tibia drains into the popliteal vein, the distal tibia drains into the greater saphenous vein, and the sternum drains into the internal mammary veins and azygos [ 6 , 7 , 8 , 9 ]. Before channeling an intraosseous route, we must pay attention to the age of the patient and the pathology, always remembering the contraindications.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Management of Intraosseous Access in Adults in Critical Situations for Health Professionals

et al. 2022

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There are health professionals who are unaware of the ideal management of the intraosseous route, despite the fact that it has been scientifically considered an alternative to the peripheral venous route when the patient is in critical condition. Thanks to continuous development, there has been a need to provide emergency services with materials that manage to provide satisfactory care, despite the difficulties faced by health personnel. Objectives: The objective of this systematic bibliographic review is to update the theoretical and practical knowledge and strategies for the insertion and proper management of the intraosseous route as an emergency vascular access for nursing professionals. Data sources, study eligibility criteria: The search for the articles was carried out in various scientific databases with the help of a search string (January 2015 and May 2021), which combined the keywords and Boolean operators. Study appraisal and synthesis methods: Eighteen articles were chosen after a review of 1920 database articles, following the application of the inclusion and exclusion criteria. Results: Intraosseous infusion is an effective and safe technique, which increases patient survival. Therefore, it is of crucial importance that all nursing professionals know how to handle the different intraosseous devices in situations in which it is not possible to achieve immediate peripheral venous access. Conclusions and implications of key findings: It is of great need to have devices or fast and effective alternatives that allow us to develop safe interventions by health professionals.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical Management of Intraosseous Access in Adults in Critical Situations for Health Professionals

et al. 2022

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Intraosseus Access by Ambulance

Давыдов

Tretyakova

2021

Skor. med. pomoŝʹ

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Background. Emergency physicians often have difficulty providing vascular access to patients in critical condition. In these conditions, intraosseous access has an advantage over traditional peripheral vein catheterization. Currently, intraosseous access is not widely used at the stage of emergency medical care.Aim. Analysis and generalization of current information on the use of the method of intraosseous access to emergency medicine.Materials and methods. We have found publications in Russian and international search engines (PubMed, eLIBRARY, etc.) over the past 20 years. Publications reflected current issues of intraosseous access application. 74 articles were found and 30 were selected for review.Results. Intraosseous access showed good results in patients with weakly expressed venous network at the stage of emergency medical care. The method has a simple technique of manipulation, does not have a large number of complications and contraindications. Doctors who have received training often use intraosseous access, taking into account the indications for use.Conclusion. Intraosseous access has an advantage over peripheral intravenous access in patients in critical condition at the stages of emergency care.

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Intraosseous vascular access

Cited by 2 publications

References 9 publications

Clinical Management of Intraosseous Access in Adults in Critical Situations for Health Professionals

Clinical Management of Intraosseous Access in Adults in Critical Situations for Health Professionals

Intraosseus Access by Ambulance

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