Intraosseous access devices in small children

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Perhaps a more suitable question would be: which strategy adopt based on the type of IO device used, the age of the child and the location of the IO site?” Peguet et al (2019).

Extract:

We read with great interest the recently published study by Maxien et al. on the rate of malposition of intraosseous (IO) needles in pediatric cadavers.1 The study showed a high malposition rate, up to 64%, especially in infants of less than one-year-old. These results are well analyzed by the authors. However, we believe that this high malposition rate raises a strategy issue rather than an age, weight or training issue. Perhaps a more suitable question would be: which strategy adopt based on the type of IO device used, the age of the child and the location of the IO site?

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Reference:

Peguet, O., Beissel, A., Chassery, C., Gueugniaud, P.Y. and Bouchut, J.C. (2019) Intraosseous devices in small children: The need for a clearly defined strategy. Resuscitation. December 5th. DOI: https://doi.org/10.1016/j.resuscitation.2019.11.027. .

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