794 results match your criteria Intraosseous Access


An observational study of peripheral intravenous and intraosseous device insertion reported in the United States of America National Emergency Medical Services Information System in 2016.

Australas Emerg Care 2022 Jun 7. Epub 2022 Jun 7.

Department of Paramedicine, Monash University, Frankston, Australia.

Objective: To investigate the prevalence of intravenous and interosseous device insertion in the prehospital setting by prehospital clinicians, and the characteristics of patients receiving these devices as reported to the United States of America National Emergency Medical Services Information System.

Methods: A retrospective analysis of the United States of America National Emergency Medical Services Information System public release dataset for the 2016 calendar year.

Results: A total of 20,454,975 events involving 40,438,959 procedures were analysed. Read More

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Emergency Decompressive Craniostomy "Burr Hole" Using an Intraosseous Vascular Access System in a Resource-Limited Setting: A Technical Report on a Cadaver.

Cureus 2022 Apr 23;14(4):e24420. Epub 2022 Apr 23.

Emergency Medicine, Envision Physician Services, Fort Lauderdale, USA.

This paper describes an alternative approach to emergency burr hole evacuation of epidural hematoma using the intraosseous (IO) vascular access system. The IO vascular access system is commonly available in the Emergency Department. We demonstrate that it can be used in rare situations where immediate neurosurgical intervention and the standard cranial drill and brace are not available for burr hole craniostomy. Read More

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Can Non-Physician Providers Use Ultrasound to Aid in Establishing Peripheral IV Access in Patients Who are Difficult to Cannulate? A Scoping Review.

Prehosp Disaster Med 2022 May 20:1-12. Epub 2022 May 20.

Ambulance Victoria, Doncaster, Victoria, Australia.

Introduction: Non-physician performed point-of-care ultrasound (POCUS) is emerging as a diagnostic adjunct with the potential to enhance current practice. The scope of POCUS utility is broad and well-established in-hospital, yet limited research has occurred in the out-of-hospital environment. Many physician-based studies expound the value of POCUS in the acute setting as a therapeutic and diagnostic tool. Read More

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Comparison of intraosseous and intravenous iodinated contrast administration for CT imaging in Hispaniolan Amazon parrots (Amazona ventralis).

Vet Radiol Ultrasound 2022 May 16. Epub 2022 May 16.

Louisiana State University College of Veterinary Medicine, Veterinary Clinical Sciences, Baton Rouge, Louisiana, USA.

Establishing and maintaining intravenous access for contrast medium during CT imaging can be difficult in birds due to their small size and thin walled vessels. Intraosseous (IO) catheters are an alternative to intravenous catheters and are often used for fluid or medication administration in birds. To determine the feasibility of IO iodinated contrast enhancement for CT in birds, 10 adult Hispaniolan Amazon parrots (Amazona ventralis) weighing 260-325 g, were enrolled in a prospective randomized blinded crossover group study to evaluate the differences in contrast route administration. Read More

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Pediatric Emergencies in Helicopter Emergency Medical Services: A National Population-Based Cohort Study From Denmark.

Ann Emerg Med 2022 May 5. Epub 2022 May 5.

Center for Prehospital and Emergency Research, Department of Clinical Medicine, Aalborg University and Aalborg University Hospital, Aalborg, Denmark; Prehospital Emergency Services, North Denmark Region, Aalborg, Denmark; Department of Emergency and Trauma Care, Center for Internal Medicine and Emergency Care, Aalborg University Hospital, Aalborg, Denmark.

Study Objective: To examine the diagnostic pattern, level of severity of illness or injuries, and mortality among children for whom a physician-staffed helicopter emergency medical service (HEMS) was dispatched.

Methods: Population-based cohort study including patients aged less than 16 years treated by the Danish national HEMS from October 1, 2014, to September 30, 2018. Diagnoses were retrieved from inhospital medical records, and the severity of illness or injuries was assessed by a severity score on scene, administration of advanced out-of-hospital care, need for intensive care in a hospital, and mortality. Read More

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Physician preferences associated with powered intraosseous access systems: Safety features, reliability, and ease of use.

J Am Coll Emerg Physicians Open 2022 Jun 29;3(3):e12710. Epub 2022 Apr 29.

Department of Emergency Medicine AdventHealth Orlando Orlando Florida USA.

Objective: This study evaluated physician preferences and values related to the most commonly used (traditional) powered intraosseous (IO) system and a novel powered IO system featuring a passive safety needle, battery life indicator, and snap-securement/skin attachment.

Methods: Emergency physicians participated in an IO simulation using both the traditional and novel IO systems. Participants completed a 27-item postsimulation questionnaire to state their preferences toward each IO system and values related to the novel IO system features using a multiple choice, 11-point value ranking scale (0 = no value, 10 = extremely valuable) and free-text answer questions. Read More

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EMS Use and Success Rates of Intraosseous Infusion for Pediatric Resuscitations: A Large Regional Health System Experience.

Prehosp Emerg Care 2022 May 13:1-6. Epub 2022 May 13.

Department of Paediatrics and Medicine, Western University, Children's Health Research Institute, London, Canada.

Objective: Access of intraosseous (IO) compartments is a commonly used technique that is an invaluable asset in emergency resuscitation. Prehospital IO success rates using semi-automatic insertion devices vary between 70 and 100% of pediatric patients. There are limited data on time to insertion and duration of IO function in the prehospital setting. Read More

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[Demystifying the intraosseous infusion technique].

Rev Med Suisse 2022 Apr;18(779):870-873

Service des urgences-SMUR, HFR Fribourg, Hôpital cantonal, 1708 Fribourg.

Intraosseous infusion provides a safe and effective access to the vascular system that allows for administration of urgent therapies in both adults and children. It has few contraindications and complications are rare. The needle is most commonly inserted in the proximal tibia or anterior humerus. Read More

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Determining Intraosseous Needle Placement Using Point-of-Care Ultrasound in a Swine (Sus scrofa) Model.

Mil Med 2022 Apr 27. Epub 2022 Apr 27.

Clinical Investigation Department, Combat Trauma Research Group, Naval Medical Center Portsmouth, Portsmouth, VA 23708, USA.

Objective: 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. Current research exploring the utility of bedside ultrasound in confirming IO line placement is limited by small sample sizes of skeletally immature subjects or geriatric cadaveric models. Read More

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Fluid Therapy for Pediatric Patients.

Vet Clin North Am Small Anim Pract 2022 May;52(3):707-718

VETgirl, 2950 Busch Lake Boulevard, Tampa, FL 33614, USA.

Pediatric dogs and cats within their first 12 weeks of life have important electrolyte requirements and physiologic considerations that may impact fluid therapy. Fluid requirements are higher in pediatrics, while fluid losses are greater due to underdeveloped physiologic responses. Hydration and volume status are difficult to assess in young animals, and their small size makes intravenous (IV) access difficult to obtain. Read More

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Is Humerus a Good Choice for Intraosseous Access During Fluid Resuscitation in a Child with Severe Septic Shock?

Turk Arch Pediatr 2022 Mar;57(2):237-238

Division of Pediatric Critical Care Medicine, Ankara University, Faculty of Medicine, Ankara, Turkey.

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Feasibility of Obtaining Intraosseous and Intravenous Access Using Night Vision Goggle Focusing Adaptors.

J Spec Oper Med 2022 ;22(1):56-63

Background: The optimal tactical lighting for performing medical procedures under low-light conditions is unclear.

Methods: United States Navy medical personnel (N = 23) performed intravenous (IV) and intraosseous (IO) procedures on mannequins using a tactical headlamp, night vision goggles (NVGs), and night vision goggles with focusing adaptors (NVG+A) utilizing a randomized within-subjects design. Procedure success, time to completion, and user preferences were analyzed using analysis of variance (ANOVA) and nonparametric statistics at p < . Read More

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Peripheral intravenous catheter and intraosseous device insertions reported from the 1 July 2016 to 30 June 2017 in an Australian state ambulance service: An observational study.

Australas Emerg Care 2022 Mar 8. Epub 2022 Mar 8.

Department of Paramedicine, Monash University, Frankston, Australia.

Objective: To overcome the lack of larger, population-based studies reporting the prevalence of insertion of PIVCs and IO devices, and to describe the patient-related and service-related characteristics of these devices, inserted by paramedics, in an Australian state ambulance service.

Methods: A retrospective analysis of the electronic Ambulance Report Form (medical record) and Computer Aided Dispatch system from the 1st July 2016 until 30th June 2017.

Results: 709,217 events were analysed. Read More

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THE SHORT- AND LONG-TERM IMPACTS OF INTRAOSSEOUS CATHETERIZATION TRAINING ON MEDICAL STAFF'S READINESS TO STABILIZE CRITICAL PATIENTS AT THE PEDIATRIC EMERGENCY DEPARTMENT.

Georgian Med News 2022 Feb(323):180-183

David Tvildiani Medical University, Tbilisi, Georgia.

The introduction of intraosseous injection methodology is very important in critically ill patients, with whom peripheral venous catheterization is impossible and there is not enough time to access a central vein due to a life-threatening condition of the patient. To carry out the relevant methodology in Georgia, for the first time in 2016 and then in 2017, the USA Mayo Clinic Emergency Care Physicians held trainings in Intraosseous Catheterization, which included both theoretical (indications, contraindications, complications, etc.) and practical trainings (techniques for using a special tool on manikin bone). Read More

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February 2022

Antimicrobial Therapy in Pediatric Sepsis: What Is the Best Strategy?

Front Pediatr 2022 15;10:830276. Epub 2022 Feb 15.

Department of Hospital Epidemiology and Infection Control, Hospital Municipal Infantil Menino Jesus, São Paulo, Brazil.

Pediatric sepsis is a relevant cause of morbidity and mortality in this age group. Children are affected differently in high and low-income countries. Antibiotics are crucial for the treatment of sepsis, but indiscriminate use can increase resistance worldwide. Read More

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February 2022

Clinical Management of Intraosseous Access in Adults in Critical Situations for Health Professionals.

Healthcare (Basel) 2022 Feb 14;10(2). Epub 2022 Feb 14.

Nursing and Physiotherapy Department, Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina (Toledo), 45600 Toledo, Spain.

There are health professionals who are unaware of the ideal management of the intraosseous route, despite the fact that it has been scientifically considered an alternative to the peripheral venous route when the patient is in critical condition. Thanks to continuous development, there has been a need to provide emergency services with materials that manage to provide satisfactory care, despite the difficulties faced by health personnel.

Objectives: The objective of this systematic bibliographic review is to update the theoretical and practical knowledge and strategies for the insertion and proper management of the intraosseous route as an emergency vascular access for nursing professionals. Read More

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February 2022

Development and Evaluation of a Three-Dimensional-Printed Pediatric Intraosseous Infusion Simulator To Enhance Medical Training.

Cureus 2022 Jan 10;14(1):e21080. Epub 2022 Jan 10.

Research and Development, Ontario Tech University, Oshawa, CAN.

Vascular access is an essential and rate-limiting step during pediatric resuscitation efforts. Intraosseous (IO) access, an effective resuscitative strategy, remains underutilized in emergency departments. Many medical graduates report never performing the procedure before graduation, and it has been recommended that continuing education and in-servicing programs be implemented to increase the use and familiarity of IO access. Read More

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January 2022

Performance comparison of intraosseous devices and setups for infusion of whole blood in a cadaveric swine bone model.

Am J Emerg Med 2022 Apr 25;54:58-64. Epub 2022 Jan 25.

Department of Emergency Medicine, Naval Medical Center San Diego, San Diego, CA, United States of America; Naval Medical Center San Diego, Combat Trauma Research Group, Clinical Investigation Department, San Diego, CA, United States of America; Uniformed Services University of the Health Sciences, Department of Military and Emergency Medicine, Bethesda, MD, United States of America. Electronic address:

Objectives: Intraosseous (IO) access can provide a critical bridge for blood product infusion when peripheral venous access is not obtainable. Successful pressurized IO infusion requires flow rates sufficient to preserve life, but with infusion pressures low enough to avoid clinical complications (e.g. Read More

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Compartment Syndrome Secondary to Intraosseous Access Abutting Tibial Stem Cement Mantle of a Total Knee Arthroplasty: A Case Report.

JBJS Case Connect 2022 02 2;12(1). Epub 2022 Feb 2.

Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio.

Case: A 79-year-old man 6 days status-post left total knee arthroplasty (TKA) presented to our institution from an outside hospital (OSH) after a suspected STEMI and ventricular fibrillation arrest. At the OSH, intraosseous (IO) access was placed in his right tibia. Orthopaedics was consulted for compartment syndrome at the IO access site. Read More

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February 2022

Intraosseus access vs ecoguided peripherical venous access in emergency and urgency: a systematic review.

Acta Biomed 2021 12 21;92(S2):e2021334. Epub 2021 Dec 21.

A.O.U. di Parma.

Background And Aim Of The Work: Ensuring vascular access in emergency conditions is critical. Peripheral venous catheters (CVP) are the most used devices in clinical practice, even though their positioning can result difficult, causing delay in life-support treatments with possible critical results. Ultrasounds allow you to view blood vessel in real time, for this reason they could result helpful during use. Read More

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December 2021

Intraosseous access: An essential tool for general practitioners and anaesthetists in rural areas.

Aust J Rural Health 2022 Feb 16;30(1):22-24. Epub 2022 Jan 16.

Discipline of Acute Care Medicine, University of Adelaide, Adelaide, South Australia, Australia.

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February 2022

A Novel Approach for More Effective Emergency Equipment Storage: The Task-Based Package-Organized Neonatal Emergency Backpack.

Front Pediatr 2021 23;9:771396. Epub 2021 Dec 23.

Department of Pediatrics and Adolescent Medicine, Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University Vienna, Vienna, Austria.

To evaluate a new task-based package-organized (TPO) neonatal emergency backpack and to compare it to the classical (ABC- and material-based) backpack. Simulation-based assessment of time to retrieve equipment for three different tasks [intraosseous access (IO), intubation and adrenaline administration] using the TPO and the classical emergency backpack was compared. Equipment retrieval times for the three tasks were assessed for 24 nurses (12 intermediate care, 12 intensive care) and were significantly faster in the TPO than in the classical backpack (IO 33 vs. Read More

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December 2021

Arthroscopic Bone Graft for Intraosseous Lunate Bone Ganglion.

Arthrosc Tech 2021 Dec 2;10(12):e2645-e2649. Epub 2021 Nov 2.

Institut de la Main, Clinique Bizet, Paris, France.

Intraosseous lunate bone ganglia (ILBG) are known to be a cause of chronic wrist pain and disability. Standard treatment consists of curettage and autologous bone grafting. Open procedures have shown good results with few recurrences, but with frequent stiffness or persistent pain. Read More

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December 2021

Prehospital Iliac Crest Intraosseous Whole Blood Infusion.

J Spec Oper Med 2021 ;21(4):90-93

Low-titer cold-stored O-positive whole blood (LTCSO+WB) resuscitation therapy is the cornerstone of military hemorrhagic shock resuscitation. During the past 19 years, improved patient outcomes have shown the importance of this intervention in shock treatment. Iliac crest intraosseous (IO) placement is an alternative when peripheral sites such as the humeral head and tibia are not available options. Read More

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January 2022

Intraoperative Rupture of an Intracranial, Extradural Hydatid Cyst: Case Report and Treatment Options.

Brain Sci 2021 Dec 2;11(12). Epub 2021 Dec 2.

Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.

A 23-year-old woman was presented to the Emergency Unit with intracranial hypertension syndrome and blindness in her left eye which had started recently. A cranial native computed tomography scan and a magnetic resonance imaging (MRI) with contrast examinations revealed a giant intracranial cystic lesion, extending into the left frontal lobe, which was compressing the optic chiasm and eroding the internal plate of the left frontal bone. Surgical craniotomy was performed for evacuation and decompression, but during the craniotomy the cyst ruptured. Read More

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December 2021

Humerus Intraosseous and Intravenous Administration of Epinephrine in Normovolemic and Hypovolemic Cardiac Arrest Porcine Models.

Med J (Ft Sam Houst Tex) 2022 Jan-Mar(Per 22-01/02/03):11-16

Professor and Director of Research, United States Army Graduate Program in Anesthesia Nursing, San Antonio, TX.

Objective: The aim of this study was to compare area under the curve (AUC), frequency, and odds of return of spontaneous circulation (ROSC) when epinephrine was administered in hypovolemic and normovolemic cardiac arrest models.

Methods: Twenty-eight adult swine were randomly assigned to 4 groups: HIO Normovolemia Group (HIONG); HIO Hypovolemia Group (HIOHG); IV Normovolemia (IVNG); and IV Hypovolemia Group (IVHG). Swine were anesthetized. Read More

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December 2021

Awareness, current use and attitudes toward intraosseous access among physicians and nurses in China: a national web-based survey.

Eur J Emerg Med 2022 02;29(1):78-79

Department of Emergency Medicine, Second Affiliated Hospital, School of Medicine.

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February 2022

Intraosseous fluid resuscitation causes systemic fat emboli in a porcine hemorrhagic shock model.

Scand J Trauma Resusc Emerg Med 2021 Dec 20;29(1):172. Epub 2021 Dec 20.

Department of Surgery, Nordland Hospital Trust, Bodø, Norway.

Background: Intraosseous cannulation can be life-saving when intravenous access cannot be readily achieved. However, it has been shown that the procedure may cause fat emboli to the lungs and brain. Fat embolization may cause serious respiratory failure and fat embolism syndrome. Read More

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December 2021

Advanced Vascular Access in Small Animal Emergency and Critical Care.

Front Vet Sci 2021 29;8:703595. Epub 2021 Nov 29.

Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN, United States.

In canine and feline patients presenting in a state of hemodynamic collapse, obtaining vascular access can be challenging. Delays in achieving vascular access interfere with delivery of patient care. In human medicine, definitions of difficult vascular access are variable and include the need for multiple placement attempts or involvement of specialized teams and equipment. Read More

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November 2021