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Limb length discrepancy after intraosseous line placement

intraosseous

“We will present the case of a 6-year-old girl who presented with a 3-cm limb length discrepancy after intraosseous line placement at age 14 months without other known history of trauma or infection to account for the growth arrest” Kleinsmith and Kowalski (2024).

Upper or lower extremity intraosseous access

intraosseous

“In this large prehospital dataset, upper extremity IO access was associated with a small increase in the odds of ROSC in comparison to lower extremity IO access” Smida et al (2024).

Intraosseous access complication rates

intraosseous

“The objective of this review is to examine the current literature regarding intraosseous access in trauma resuscitation, focusing on interventions and complication rates” Chiang and Teichman (2024).

Intraosseous infusion in burn patients

intraosseous

“The use and experience with intraosseous infusion (IO) in extremely severe burns are still limited. We report efficacy and safety results from nineteen burn patients treated with IO between June 2020 and December 2022” eWangt al (2024).

Tibial or humeral intraosseous vascular access

intraosseous

“We did not detect an association between the first-attempted intra-arrest IO site (tibia vs. humerus) and clinical outcomes. Clinical trials are warranted to test differences between vascular access strategies” Brebner et al (2023).

Review of six FDA-approved intraosseous access devices – Full Text

intraosseous

“However, little is known regarding the application times, placement accuracy, and end-user ratings of battery-powered and manual IO access devices. This study was specifically designed to fill these knowledge gaps on six FDA-approved IO access devices” Kay et al (2023).

Learning intraosseous access skills – Full Text

intraosseous

“This process resulted in an eight-step list of feedback for knowledge of results and knowledge of performance that can be delivered to advanced care paramedics by paramedic facilitators using an intraosseous access simulator” Micallef et al (2023).

Intraosseous access device in a code cart – Full Text

intraosseous

“Staff could find intraosseous access equipment more quickly (23.9 versus 46.4 seconds; P = 0.003). In addition, staff reported they were less likely to open the wrong drawer or grab the wrong equipment and that the redesigned code cart was overall more well organized than the original code cart” Frazier et al (2023).

Intraosseous cannulation for adults and pediatrics

intraosseous

“The position of the Association for Vascular Access is that intraosseous cannulation should be employed by qualified clinicians in all critical situations when vascular access is not established” Lau and Thompson (2023).

Nurses experience of intraosseous access – Full Text

intraosseous

“Our findings highlighted a sub-optimal level of knowledge of the IO procedure, little experience of this practice in clinical contexts, also associated with a lack of adequate protocols and devices available to nurses” Cicolini et al (2023).

Teaching intraosseous access for pediatric cardiac arrest

intraosseous

“Using an egg to teach and learn about IO access could be considered a methodology that is equally effective as using a chicken bone, with the advantage of achieving IO access in a lesser amount of time” Márquez-Hernández et al (2023).

Intraosseous access for the primary health care physician – Full Text

intraosseous

“In this article, we will provide information on the common sites used, the equipment that is required, the indications and contraindications for intraosseous line insertion, how to correctly and safely do the procedure, medication that can be administered, post insertion line management and possible complications” Govender et al (2023).

Powered intraosseous device clinician review

intraosseous

“These findings highlight the value of clinician/user input and demonstrate EMS providers are more satisfied with a powered IO system featuring design elements intended to enhance safety and ease-of-use” Jones et al (2023).

Intraosseous access for trauma resuscitation – Full Text

intraosseous

“We focused on severe trauma patients and conducted a systematic review to evaluate the efficacy and efficiency of intraosseous (IO) access compared to intravenous (IV) access for trauma resuscitation in prehospital care” Wang et al (2023).

Intraosseous route for vascular access

intraosseous

“The IO route was significantly associated with higher success rates of route establishment, epinephrine administration, and shorter time-to-epinephrine in the prehospital resuscitation of adult patients with OHCA” Yang et al (2023).