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Study of four intraosseous blood transfusion strategies

Hepatitis E virus in blood components

Intraosseous (IO) access is used by military first responders administering fluids, blood, and medications. Current IO transfusion strategies include gravity, pressure bags, rapid transfusion devices, and manual push-pull through a three-way stopcock” Auten et al (2018). Abstract: BACKGROUND: Intraosseous (IO) access is used by military first responders administering fluids, blood, and medications. Current IO transfusion […]

Intraarticular extravasation following intraosseous needle intravenous access

intravenous drip

Off label use of intraosseous needles (IONs) for contrast media (CM) injection during computed tomographic angiography (CTA) has been reported in small case series and isolated case reports” Winkler et al (2018). Abstract: Off label use of intraosseous needles (IONs) for contrast media (CM) injection during computed tomographic angiography (CTA) has been reported in small […]

What is the usability of intraosseous blood samples in emergency care patients

venipuncture

The aim of this study was to systematically review the existing literature on the usability of IO blood samples for analysing the parameters relevant to emergency care. We performed a data search from the Medline and Embase databases, the Cochrane Library and the Clinical trials registry” Jousi et al (2018). Abstract: Intraosseous (IO) access is […]

Intraosseous access device comparison of efficacy

intraosseous infusion sites

As an alternative, medications and fluids can be administered via the intraosseous (IO) route, which is a well-tolerated and established alternative, especially in the emergency setting” Szarpak et al (2018). Abstract: BACKGROUND: Obtaining intravascular access can be challenging or even impossible in several clinical situations. As an alternative, medications and fluids can be administered via […]

Intraosseous cannulation of the tibia results in amputation

neonatal picc

“We present a case of a newborn girl, where intraosseous cannulation of the tibia was lifesaving. Despite following most standard recommendations, the treatment resulted in transtibial amputation due to necrosis” Oesterlie et al (2014).

Overall intraosseous complication rate was 2.1%

emergency iv access

“In a literature search, we identified 5,759 patients treated with IO catheters. The overall complication rate was 2.1%. In this article, we discuss the literature on IO catheter complications and report 2 cases of orthopedic management of IO catheter complications” Barlow and Kuhn (2014).

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