#IVTEAM #Intravenous literature: Lingner, M., Niederer, O., Majolk, J. and Krombholz, K. (2014) Case report – Intraosseous infusion as an alternative solution in the therapy of septicaemia in an adult. Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie. 49(2), p.100-3. .
The intraosseous access can be more often found in the guidelines and recommendations of the medical societies when an peripheral or central venous catheter cannot be established. For the adult this can mostly be found for the cardiopulmonary resuscitation or the patient with major trauma. In pediatrics and neonatology it is a reliable solution for the child in septic shock. In our case a 36 year old presented with an endocarditis and tricuspid valve insufficiency III° by known intravenous drug-abuse and septic shock. It was initially impossible to establish an adequate peripheral or central venous catheter. For this reason a humeral intraosseous access was established. After stabilizing circulatory function and volume replacement a central-venous catheter could be placed and the patient was successfully surgicallysanified. We used the EZ-IO( (Vidacare Corporation, San Antonio/USA). Appropriate systems should extensively be available in the clinical setting.
Other intravenous and vascular access resources that may be of interest (External links – IVTEAM has no responsibility for content).
- Guide for intravenous chemotherapy and associated vascular access devices from Macmillan.
- CancerUK IV chemotherapy information.