Successful use of an intraosseous infusion in an 800 grams preterm infant

Ramet, José; Clybouw, C; Benatar, Abraham; Hachimi-Idrissi, Saı̈d; Corne, Luc

doi:10.1097/00063110-199809000-00009

Cited by 21 publications

(12 citation statements)

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“…The advantage of IO infusion over peripheral vascular access is that it provides a rapid and reliable access to the systemic venous circulation in children [ 21 – 23 ]. It can be used in children of all ages, with the smallest child reported in literature weighing 800 g [ 24 ]. This has led to IO infusion having almost completely replaced saphenous cut down procedures in critically ill children in emergency situations.…”

Section: Discussionmentioning

confidence: 99%

“…It is generally considered to be a safe technique with a reported complication rate of 1% [ 26 ]. Several complications resulting from the use of IO infusion have been reported; these consisted of extravasation in some cases leading to compartment syndrome (in rare cases leading to limb amputation), osteomyelitis, fracture, skin necrosis and fat embolism [ 24 , 27 – 32 ].…”

Section: Discussionmentioning

confidence: 99%

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Cerebral arterial air embolism in a child after intraosseous infusion

et al. 2008

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cerebral arterial air embolism in a child after intraosseous infusion

et al. 2008

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“…No RCTs have compared different routes of administration; however, simulation can be used to compare different methods of vascular access insertion. Case reports have shown intraosseous lines to be quick and effective (55)(56)(57) and simulation studies have shown that IO access is quicker than UVC insertion in both experienced and non-experienced health care professionals (53,58). However, at present the NRP prefer UVC placement to peripheral or IO access due to decreased risk of extravasation (14,59,60).…”

Section: Adrenaline/accessmentioning

confidence: 99%

Simulation in Neonatal Resuscitation

Garvey

Dempsey

2020

Front. Pediatr.

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Approximately 1 in 10 newborns will require basic resuscitation interventions at birth. Some infants progress to require more advanced measures including the provision of positive pressure ventilation, chest compressions, intubation and administration of volume/cardiac medications. Although advanced resuscitation is infrequent, it is crucial that personnel adequately trained in these techniques are available to provide such resuscitative measures. In 2000, Louis Halmalek et al. called for a "New Paradigm in Pediatric Medical Education: Teaching Neonatal Resuscitation in a Simulated Delivery Room Environment." This was one of the first articles to highlight simulation as a method of teaching newborn resuscitation. The last decades have seen an exponential growth in the area of simulation in newborn care, in particular in newborn resuscitation and stabilization. Simulation is best defined as an instructional strategy "used to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner." Simulation training has now become an important point of how we structure training and deliver improved healthcare to patients. Some of the key aspects of simulation training include feedback, deliberate practice, outcome measurement, retention of skills and curriculum integration. The term "Train to win" is often used in sporting parlance to define how great teams succeed. The major difference between sports teams is that generally their game day comes once a week, whereas in newborn resuscitation every day is potentially "game day." In this review we aim to summarize the current evidence on the use of simulation based education and training in neonatal resuscitation, with particular emphasis on the evidence supporting its effectiveness. We will also highlight recent advances in the development of simulation based medical education in the context of newborn resuscitation to ensure we "train to win."

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“…In the 1980s, the technique was re-introduced in response to the need for immediate vascular access during cardiopulmonary resuscitation (CPR). Currently, the technique is used throughout the United States and is recognized as an accepted alternative to intravenous (IV) access in pediatric emergencies and, increasingly, in neonatal and adult emergencies 3–5. In addition, the ease, effectiveness, and safety of the technique have led to its use for prehospital and combat emergency care 2,6–8.…”

Section: Introductionmentioning

confidence: 99%

Onset and Duration of Intravenous and Intraosseous Rocuronium in Swine

Loughren¹,

Banks²,

Naluan³

et al. 2014

WestJEM

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IntroductionThe intraosseous (IO) route has become a popular method to gain access to the peripheral circulation in emergency situations. Despite little supporting data, it is generally believed that IO absorption is immediate and equivalent to the intravenous (IV) route. It is important to determine if rocuronium can effectively be administered by the IO route. The aim of the study was to determine and compare the onset and duration of rocuronium when administered via the IO and IV routes in a normovolemic pig model.MethodsWe recorded electromyographic (EMG) data following tibial IO and peripheral IV administration of rocuronium (1.2 mg/kg) in 10 swine weighing between 56 and 71 Kg. We transformed data were transformed to percent of baseline, determined onset and recovery characteristics.ResultsThe onset EMG-time profiles for IO and IV administration were very similar: tibial IO compared to IV administration did not statistically alter the onset of paralysis. The IO group took statistically longer than the IV group to return to 50 (p=0.042), 75 (p=0.034) and 95 (p=0.036) percent of baseline activity.ConclusionThe duration of effect is statistically longer after IO administration but is more of an academic interest than a clinical concern. The results of this study suggest that rocuronium can effectively be administered via the IO route without the need for dose adjustments.

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Successful use of an intraosseous infusion in an 800 grams preterm infant

Cited by 21 publications

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Cerebral arterial air embolism in a child after intraosseous infusion

Cerebral arterial air embolism in a child after intraosseous infusion

Simulation in Neonatal Resuscitation

Onset and Duration of Intravenous and Intraosseous Rocuronium in Swine

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