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Intraosseous infusion technique explained

intraosseous

“The intraosseous infusion procedure is easy and the learning curve is short, making it the best alternative when traditional intravenous access is not possible or delayed” Meynet et al (2022).

Intraosseous access in pediatrics

intraosseous

“Successful prehospital IO access was achieved in 83.7% of patients. The median time required to achieve IO access was 4 minutes (IQR 3-7) and mean duration of IO function was 27.6 minutes (SD: 14.8)” Garabon et al (2022).

Intraosseous needle placement – Full Text

intraosseous

“Intraosseous (IO) access is critical in resuscitation, providing rapid access when peripheral vascular attempts fail. Unfortunately, misplacement commonly occurs, leading to possible fluid extravasation and tissue necrosis” Kyle et al (2022).

Emergency vascular access

IO

“Contraindications and complications of I.O and of ultrasound-guided CVP positioning are limited” Gerlando et al (2021).

Intraosseous device review

intravenous drip

“In our study, Army combat medics learned how to use both devices rapidly but felt the NIO automatic IO device easier to use and overwhelmingly preferred this device” Lange et al (2021).

Intraosseous access complications

intraosseous

“Our review identified a complication rate of 2.7%, with complications including compartment syndrome, needle breakage, and a previously unreported cutaneous complication of traumatic bullae” Konopka et al (2021).

Intraosseous vascular access device comparison

intraosseous infusion sites

“Each of these devices provides an effective route for fluid resuscitation, drug delivery, laboratory evaluation, and shortening the timeframe for established vascular access, provided that the person obtaining the access is acquainted with the use of the device” Drozd et al (2021).

Tibial intraosseous drug administration

intraosseous infusion sites

“Our aim was to determine whether prehospital administration of resuscitative medications via the IO route was associated with lower rates of return of spontaneous circulation (ROSC) and survival to hospital discharge than peripheral intravenous (IV) infusion in the setting of OHCA” Hamam et al (2021).

Double site intraosseous blood transfusion

VIP Score

“Dual anatomic site, pressure bag driven, intraosseous blood transfusion approximately doubles flow rates without evidence of clinical complications or hemolysis” Sulava et al (2021).

Complications of intraosseous access

IO

“Intraosseous (IO) access is an effective surrogate for intravascular access in critically ill patients. We present 2 cases of IO complications” Arakawa et al (2021).

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