Intraosseous administration of 23.4% saline in 6 adult patients with neurological emergencies was feasible and should be considered in cases where obtaining intravenous access is time consuming” Farrokh et al (2018).
Abstract:
BACKGROUND: Rapid administration of hypertonic saline 23.4% is crucial in treatment of herniation syndromes. Hypertonic 23.4% saline must be administered via a central line. In cases where central line access is difficult to obtain and leads to delay in therapy, placement of intraosseous access can be lifesaving. Main body: The purpose of this case series is to describe the use of intraosseous administration of 23.4% saline in critically ill patients and to assess feasibility.
CONCLUSION: Intraosseous administration of 23.4% saline in 6 adult patients with neurological emergencies was feasible and should be considered in cases where obtaining intravenous access is time consuming.
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Reference:
Farrokh, S., Cho, S.M., Lefebvre, A.T., Zink, E.K., Schiavi, A. and Puttgen, H.A. (2018) Use of intraosseous hypertonic saline in critically ill patients. The Journal of Vascular Access. October 17th. [epub ahead of print].
doi: 10.1177/1129729818805958.