621 results match your criteria Intraosseous Access


Palliative Sedation via Intraosseous Vascular Access: A Safe and Feasible Way to Obtain a Vascular Access End of Life.

J Palliat Med 2019 Jan;22(1):109-111

1 Department of Palliative Care and Advanced Home Health Care, Primary Health Care Skåne, Lund, Sweden.

Intraosseous (IO) access is normally reserved for emergencies and critical care conditions when venous cannulation is not possible. Nonetheless, we present a case of IO insertion to a 56-year-old man, tetraplegic for many years due to progressive spinal muscular atrophy and with refractory suffering. The IO access was used for palliative sedation with propofol in a home care setting. Read More

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http://dx.doi.org/10.1089/jpm.2018.0398DOI Listing
January 2019

Life Saving Interventions in Blackout Conditions Using Night Vision Technology: Come to the Dark Side.

J Trauma Acute Care Surg 2019 Jan 8. Epub 2019 Jan 8.

Madigan Army Medical Center.

Introduction: During military combat operations and civilian night-time aeromedical transport, medical providers are frequently required to perform life-saving interventions (LSIs) in low-light environments. Because definitive surgical care is often delayed until a white light environment is permissible, we sought to determine if night optical device (NOD) technology could enable surgical capabilities in blackout conditions.

Methods: Using a cross-over design, 6 surgeons performed 11 different procedures on 6 swine, 3 in normal light conditions (LC) and 3 in blackout conditions (BC) using two-chamber NODs after familiarization with the procedures in both conditions on manikins. Read More

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http://dx.doi.org/10.1097/TA.0000000000002190DOI Listing
January 2019

Serious Complications of Intraosseous Access during Infant Resuscitation.

European J Pediatr Surg Rep 2018 Jan 19;6(1):e59-e62. Epub 2018 Jul 19.

Department of Vascular Surgery, University Hospital in Pilsen, Pilsen, Czech Republic.

We report on a 2.5-month-old infant with ischemia of the left leg and compartment following intraosseous needle application during resuscitation. Unfortunately, this event led to major limb amputation. Read More

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http://dx.doi.org/10.1055/s-0038-1661407DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6053316PMC
January 2018

Acute Tibial osteomyelitis caused by intraosseous access during initial resuscitation: a case report and literature review.

BMC Infect Dis 2018 Dec 17;18(1):665. Epub 2018 Dec 17.

Department of Internal Medicine and Infectious Diseases, University Hospital of Tours, Hospital Bretonneau, Tours, France.

Background: Intra-osseous (IO) access is recommended in cases of pre-hospital emergency or resuscitation when intravascular (IV) route is difficult or impossible. Despite recent improvement in IO devices and increasing indications, it remains rarely used in practice. Various complications have been reported but are uncommon. Read More

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http://dx.doi.org/10.1186/s12879-018-3577-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296120PMC
December 2018
2 Reads

FascIOtomy: Ultrasound Evaluation of an Intraosseous Needle Causing Compartment Syndrome.

Clin Pract Cases Emerg Med 2018 Nov 5;2(4):323-325. Epub 2018 Sep 5.

Keck School of Medicine of the University of Southern California, LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California.

Intraosseous (IO) needles are used in critically ill patients when it is not possible to quickly obtain venous access. While they allow for immediate access, IO infusions are associated with complications including fractures, infections, and compartment syndrome. We present a case where point-of-care ultrasound was used to quickly identify a malfunctioning IO needle that resulted in compartment syndrome of the lower extremity. Read More

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http://dx.doi.org/10.5811/cpcem.2018.8.38854DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230360PMC
November 2018
5 Reads

Intraosseous Administration of 23.4% NaCl for Treatment of Intracranial Hypertension.

Neurocrit Care 2018 Nov 5. Epub 2018 Nov 5.

Neuroscience Intensive Care Unit, Medical Critical Care Service, Department of Medicine, INOVA Fairfax Hospital, 3300 Gallows Rd, Falls Church, VA, 22042, USA.

Background/objective: Prompt treatment of acute intracranial hypertension is vital to preserving neurological function and frequently includes administration of 23.4% NaCl. However, 23. Read More

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http://link.springer.com/10.1007/s12028-018-0637-2
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http://dx.doi.org/10.1007/s12028-018-0637-2DOI Listing
November 2018
15 Reads

Intraosseous versus intravenous access in patients with out-of-hospital cardiac arrest: Insights from the Resuscitation Outcomes Consortium Continuous Chest Compression Trial.

Resuscitation 2018 Nov 1. Epub 2018 Nov 1.

Department of Emergency Medicine, UT Southwestern Medical Center, Dallas, TX, United States.

Aim: To examine outcomes associated with intraosseous access route attempt for delivery of medications during out-of-hospital cardiac arrest (OHCA) resuscitation.

Methods: Using data from the Continuous Chest Compression trial, we examined rates of survival to hospital discharge, sustained return of spontaneous circulation (ROSC), and survival with favorable neurological function among patients with intraosseous and intravenous access attempts after adjusting for age, sex, initial rhythm, bystander cardiopulmonary resuscitation, public location, witnessed status, EMS response and trial randomization cluster.

Results: Among 19,731 patients, intraosseous access was attempted in 3068 patients and intravenous access in 16,663 patients respectively. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2018.10.031DOI Listing
November 2018
1 Read

[Supraglottic airway devices and intraosseous access in the treatment of patients after out-of-hospital cardiac arrest : Do we use the wrong tool too often?]

Med Klin Intensivmed Notfmed 2018 Oct 23. Epub 2018 Oct 23.

Medizinische Klinik II, Schwerpunkt Kardiologie und Angiologie, Marien Hospital Herne, Ruhr-Universität Bochum, Hölkeskampring 40, 44625, Herne, Deutschland.

Introduction: Only a little is known about the frequency of use of supraglottic airway devices (SADs) and intraosseous (IO) access in patients who have had out-of-hospital cardiac arrest (OHCA).

Materials And Methods: We analyzed data from all patients who had had OHCA admitted to our hospital between 1 January 2008 and 31 December 2017.

Results: A total of 135 (33. Read More

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http://link.springer.com/10.1007/s00063-018-0502-2
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http://dx.doi.org/10.1007/s00063-018-0502-2DOI Listing
October 2018
6 Reads

Use of intraosseous hypertonic saline in critically ill patients.

J Vasc Access 2018 Oct 17:1129729818805958. Epub 2018 Oct 17.

2 Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD, USA.

Background: Rapid administration of hypertonic saline 23.4% is crucial in treatment of herniation syndromes. Hypertonic 23. Read More

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http://dx.doi.org/10.1177/1129729818805958DOI Listing
October 2018
1 Read

Insights From a Tertiary Care Intraosseous Insertion Practice Improvement Registry: A 2-Year Descriptive Analysis.

J Emerg Nurs 2018 Oct 12. Epub 2018 Oct 12.

Introduction: Few practice improvement registries exist that describe opportunities to improve intraosseous (IO) use. The goal of this project was to assess the success rate of the procedure by emergency nurses and identify opportunities to improvement. Secondary goals were to assess success rates based on clinician type, age of patient, and procedural factors. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00991767183023
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http://dx.doi.org/10.1016/j.jen.2018.08.013DOI Listing
October 2018
4 Reads

Pediatric Intraosseous Access Performed by Emergency Department Nurses Using Semiautomatic Devices: A Randomized Crossover Simulation Study.

Pediatr Emerg Care 2018 Sep 25. Epub 2018 Sep 25.

From the Emergency Department, and.

Background: No study has examined the performance of emergency department (ED) nurses in establishing intraosseous access (IO) access. This study aimed to evaluate ED nurses' success rate in establishing pediatric IO access using semiautomatic devices.

Methods: A randomized crossover simulation study was conducted. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001621DOI Listing
September 2018
6 Reads

Intraosseous Administration of Tissue Plasminogen Activator on a Mobile Stroke Unit.

Prehosp Emerg Care 2018 Oct 25:1-6. Epub 2018 Oct 25.

Objective: Mobile stroke units offer improved time to administration of thrombolytics for ischemic stroke patients. Acquisition of intravenous (IV) access, however, can be challenging in the prehospital environment leading to treatment delays. Intraosseous (IO) access is commonly used in the prehospital setting for a variety of conditions and may serve as a viable means for tPA (tissue plasminogen activator) administration. Read More

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http://dx.doi.org/10.1080/10903127.2018.1526355DOI Listing
October 2018
1 Read

A Pilot Study of Four Intraosseous Blood Transfusion Strategies.

J Spec Oper Med Fall 2018;18(3):50-56

Background: 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. In a swine model of hemorrhagic shock, we compared flow rates among four different IO blood transfusion strategies. Read More

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December 2018
1 Read

Intraarticular extravasation, an unusual complication of computed tomographic angiography performed with intraosseous needle intravenous access.

Cardiovasc Diagn Ther 2018 Aug;8(4):516-519

Department of Radiology, University of Kentucky, Lexington, KY, USA.

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. Presently, complications specific to this novel indication are essentially unknown. In this communication, we report an extravasation of CM from the intramedullary space of the humerus into the glenohumeral joint space during an ION injection of CM during a CTA of the head, neck, and chest. Read More

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http://cdt.amegroups.com/article/view/20098/20489
Publisher Site
http://dx.doi.org/10.21037/cdt.2018.06.04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129818PMC
August 2018
10 Reads

[Intravenous lines in transfusion and their medical devices].

Transfus Clin Biol 2018 Nov 14;25(4):276-280. Epub 2018 Aug 14.

Service d'hémovigilance et de sécurité transfusionnelle AP-HM, 270, boulevard Sainte-Marguerite, Pavillon 9, 13009 Marseille, France.

Treatment by blood transfusion first requires an intravenous cannula. Professionals remember the optimal diameter for transfusion (16 to 18G). Practices differ according to the department concerned. Read More

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http://dx.doi.org/10.1016/j.tracli.2018.08.003DOI Listing
November 2018
11 Reads

Analysing blood from intraosseous access: a systematic review.

Eur J Emerg Med 2018 Aug 17. Epub 2018 Aug 17.

Emergency Medicine and Services, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.

Intraosseous (IO) access is used widely as an optional vascular route for critically ill patients. It is still unclear whether the IO access can be used as a source for emergency blood samples. 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. Read More

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http://dx.doi.org/10.1097/MEJ.0000000000000569DOI Listing
August 2018
2 Reads

Comparison of 4 Pediatric Intraosseous Access Devices: A Randomized Simulation Study.

Pediatr Emerg Care 2018 Aug 13. Epub 2018 Aug 13.

Outcomes Research, and.

Background: Obtaining intravascular access can be challenging or even impossible in several clinical situations. 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.

Methods: Seventy-five novice physicians participated in this randomized simulation study. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001587DOI Listing
August 2018
1 Read

A Novel Expeditionary Perfused Cadaver Model for Trauma Training in the Out-of-Hospital Setting.

J Emerg Med 2018 09 29;55(3):383-389. Epub 2018 Jul 29.

U.S. Naval Hospital Guam, Tutuhan, Guam.

Background: Cadaver training for prehospital surgical procedures is a valid training model. The limitation to date has been that perfused cadavers have only been used in wet laboratories in hospitals or university centers. We endeavor to describe a transportable central-perfused cadaver model suitable for training in the battlefield environment. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.05.032DOI Listing
September 2018
9 Reads

Comparison of right and left ventricular enhancement times using a microbubble contrast agent between proximal humeral intraosseous access and brachial intravenous access during cardiopulmonary resuscitation in adults.

Resuscitation 2018 08 19;129:90-93. Epub 2018 Jun 19.

Department of Emergency Medicine, Chungnam National University Hospital, 282, Munhwa-ro, Jung-gu, Daejeon, Republic of Korea.

Aim: The present study aimed to compare the ventricular enhancement time between humeral intraosseous access (HIO) and brachial intravenous access (BIV) during cardiopulmonary resuscitation (CPR) in adult humans. To our knowledge, this is the first such study during CPR in adult humans.

Methods: This prospective single-centre observational cohort study assessed the medical records of patients who underwent CPR between January 2018 and March 2018. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03009572183028
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http://dx.doi.org/10.1016/j.resuscitation.2018.06.014DOI Listing
August 2018
13 Reads

Current Challenges in Neonatal Resuscitation: What is the Role of Adrenaline?

Paediatr Drugs 2018 Jun 19. Epub 2018 Jun 19.

Department of Diagnostics and Public Health, Section of Pharmacology, University of Verona, Verona, Italy.

Adrenaline, also known as epinephrine, is a hormone, neurotransmitter, and medication. It is the best established drug in neonatal resuscitation, but only weak evidence supports current recommendations for its use. Furthermore, the available evidence is partly based on extrapolations from adult studies, and this introduces further uncertainty, especially when considering the unique physiological characteristics of newly born infants. Read More

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http://dx.doi.org/10.1007/s40272-018-0300-6DOI Listing
June 2018
3 Reads

Tibial Osteomyelitis Following Prehospital Intraosseous Access.

Clin Pract Cases Emerg Med 2017 Nov 3;1(4):391-394. Epub 2017 Nov 3.

Washington University School of Medicine, Division of Emergency Medicine St. Louis, Missouri.

Intraosseous (IO) access is a lifesaving alternative to peripheral or central venous access in emergency care. However, emergency physicians and prehospital care providers must be aware of the potential for infectious complications associated with this intervention. We describe the case of a HIV-negative, otherwise immunocompetent adult patient who underwent prehospital insertion of a tibial IO device. Read More

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http://dx.doi.org/10.5811/cpcem.2017.9.35256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965223PMC
November 2017
2 Reads

Intraosseous Vascular Access Device as a Transarticular K-wire Alternative in Mallet Finger Laceration.

Authors:
Scott B Crawford

Clin Pract Cases Emerg Med 2018 Feb 18;2(1):71-74. Epub 2018 Jan 18.

Texas Tech University Health Sciences Center El Paso, Department of Emergency Medicine, El Paso, Texas.

Mallet finger is a common injury often treated without operative intervention. When there is concern for skin integrity or a large articular component is involved, simple operative repair may be needed. This has been performed with transarticular Kirschner wire (K-wire) placement. Read More

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http://dx.doi.org/10.5811/cpcem.2017.7.34811DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965146PMC
February 2018
2 Reads

Performance of a novel, manually operated intraosseous device in adult human cadavers.

Am J Disaster Med 2018 ;13(1):5-12

School of International Biodesign, All India Institute of Medical Sciences, New Delhi, India.

Aim: Intraosseous (IO) access in adults is preferred using semi-automatic devices as it is difficult to penetrate the thick cortical layer of long bones using manual needles. The authors have developed an IO device which generates both rotational and axial thrust using a manual driver. This drilling mechanism addresses certain pain-points of current IO devices. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0283DOI Listing
August 2018
3 Reads

Intraosseous Access During Newborn Resuscitation: It May Be Fast, But Is It Safe?

Pediatr Crit Care Med 2018 May;19(5):499-501

Department of Pediatrics, University of Washington School of Medicine, Seattle, WA Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.

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http://Insights.ovid.com/crossref?an=00130478-201805000-0002
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http://dx.doi.org/10.1097/PCC.0000000000001513DOI Listing
May 2018
6 Reads

Reversal of dabigatran by intraosseous or intravenous idarucizumab in a porcine polytrauma model.

Br J Anaesth 2018 May 9;120(5):978-987. Epub 2018 Mar 9.

Department of Anaesthesiology, RWTH Aachen University Hospital, Aachen, Germany. Electronic address:

Background: Idarucizumab is licensed to reverse dabigatran in life-threatening haemorrhage. Establishment of venous access can be challenging, and the intraosseous (IO) route is a potentially life-saving alternative. In this study, we compared the efficacy and safety of IO or intravenous (i. Read More

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http://dx.doi.org/10.1016/j.bja.2018.01.027DOI Listing
May 2018
3 Reads

Anatomical investigations on intraosseous access in stillborns - Comparison of different devices and techniques.

Resuscitation 2018 Jun 5;127:79-82. Epub 2018 Apr 5.

Department of Pediatric Critical Care Medicine and Neonatology, University Children's Hospital, Kerpener Str. 62, 50937 Cologne, Germany. Electronic address:

Aim: Intraosseous (IO)-access plays an alternative route during resuscitation. Our study was performed to investigate the successful rate of IO-access in preterm and term stillborns using different devices and techniques.

Methods: The cadavers used were legal donations. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2018.04.003DOI Listing
June 2018
34 Reads

Intraosseous Versus Intravenous Access in Pediatric Septic Shock Patients Admitted to Alexandria University Pediatric Intensive Care Unit.

J Trop Pediatr 2018 Apr;64(2):132-140

Department of Pediatrics, Faculty of Medicine, Alexandria University, Alexandria 21321, Egypt.

The cornerstone of emergency management of sepsis is early, goal-directed therapy. The purpose of this study was to evaluate the effect of intraosseous (IO) vs. intravenous (IV) access for resuscitation of patients with septic shock admitted to pediatric intensive care unit. Read More

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http://dx.doi.org/10.1093/tropej/fmx061DOI Listing
April 2018
5 Reads

Emergency sternal intraosseous access for warm fresh whole blood transfusion in damage control resuscitation.

J Trauma Acute Care Surg 2018 Jun;84(6S Suppl 1):S120-S124

From the Department of Anaesthesia and Intensive Care (C.K.B., T.F., A.B.G.), Haukeland University Hospital, Bergen; Norwegian Navy Special Operations Commando (C.K.B., T.F., H.S.E., G.S.); Department of Immunology and Transfusion Medicine (T.O.P., J.S., H.B., H.S.E., G.S.), Haukeland University Hospital, Bergen, Norway; Coagulation and Blood Research (A.P.C.), US Army Institute of Surgical Research, JBSA Fort Sam Houston, Texas; Department of War Surgery and Emergency Medicine (G.S.), Norwegian Armed Forces Medical Services, Oslo, Norway. Clinical Institute 1, University of Bergen, Bergen Norway (C.K.B., T.K.F., A.B.G.).

Background: Intraosseous (IO) vascular access is increasingly used as an emergency tool for achieving access to the systemic circulation in critically ill patients. The role of IO transfusion of blood in damage control resuscitation is however questionable due to possible inadequate flow rate and hemolysis. Some experts claim that IO transfusion is contraindicated. Read More

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http://Insights.ovid.com/crossref?an=01586154-201806001-0001
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http://dx.doi.org/10.1097/TA.0000000000001850DOI Listing
June 2018
12 Reads

Duration to Establish an Emergency Vascular Access and How to Accelerate It: A Simulation-Based Study Performed in Real-Life Neonatal Resuscitation Rooms.

Pediatr Crit Care Med 2018 May;19(5):468-476

Pediatric Working Group, Austrian Resuscitation Council, Graz, Austria.

Objectives: To compare the duration to establish an umbilical venous catheter and an intraosseous access in real hospital delivery rooms and as a secondary aim to assess delaying factors during establishment and to provide recommendations to accelerate vascular access in neonatal resuscitation.

Design: Retrospective analysis of audio-video recorded neonatal simulation training.

Settings: Simulation training events in exact replications of actual delivery/resuscitation rooms of 16 hospitals with different levels of care (Austria and Germany). Read More

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http://dx.doi.org/10.1097/PCC.0000000000001508DOI Listing
May 2018
5 Reads

Performance Under Stress Conditions During Multidisciplinary Team Immersive Pediatric Simulations.

Pediatr Crit Care Med 2018 Jun;19(6):e270-e278

ABS Lab-Simulation Laboratory, Faculty of Medicine, University of Poitiers, Poitiers, France.

Objectives: The primary objective was to determine whether technical and nontechnical performances were in some way correlated during immersive simulation. Performance was measured among French Emergency Medical Service workers at an individual and a team level. Secondary objectives were to assess stress response through collection of physiologic markers (salivary cortisol, heart rate, the proportion derived by dividing the number of interval differences of successive normal-to-normal intervals > 50 ms by the total number of normal-to-normal intervals [pNN50], low- and high-frequency ratio) and affective data (self-reported stress, confidence, and dissatisfaction), and to correlate them to performance scores. Read More

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http://Insights.ovid.com/crossref?an=00130478-201806000-0002
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http://dx.doi.org/10.1097/PCC.0000000000001473DOI Listing
June 2018
10 Reads

Military Medic Performance with Employment of a Commercial Intraosseous Infusion Device: A Randomized, Crossover Study.

Mil Med 2018 May;183(5-6):e216-e222

Department of Emergency Medicine, Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA, 98431.

Background: Obtaining intraosseous (IO) access remains an invaluable skill in the management and resuscitation of patients on the battlefield. The U.S. Read More

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http://dx.doi.org/10.1093/milmed/usx078DOI Listing
May 2018
12 Reads

Review of Routes to Administer Medication During Prolonged Neonatal Resuscitation.

Pediatr Crit Care Med 2018 Apr;19(4):332-338

Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, Alberta Health Services, Canada.

Objective: During neonatal cardiopulmonary resuscitation, early establishment of vascular access is crucial. We aimed to review current evidence regarding different routes for the administration of medications during neonatal resuscitation.

Data Sources: We reviewed PubMed, EMBASE, and Google Scholar using MeSH terms "catheterization," "umbilical cord," "delivery room," "catecholamine," "resuscitation," "simulation," "newborn," "infant," "intraosseous," "umbilical vein catheter," "access," "intubation," and "endotracheal. Read More

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http://dx.doi.org/10.1097/PCC.0000000000001493DOI Listing
April 2018
7 Reads

Efficacy of Articaine versus Lidocaine in Supplemental Infiltration for Mandibular First versus Second Molars with Irreversible Pulpitis: A Prospective, Randomized, Double-blind Clinical Trial.

J Endod 2018 Apr 1;44(4):523-528. Epub 2018 Feb 1.

Department of Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan. Electronic address:

Introduction: Profound pulpal anesthesia is difficult to achieve in mandibular molars with irreversible pulpitis (IP). However, there are no published randomized controlled clinical trials comparing the success of supplemental buccal infiltration (BI) in mandibular first versus second molars with IP. The purpose of this prospective, randomized, double-blind study was to compare the efficacy of 4% articaine with 2% lidocaine for supplemental BIs in mandibular first versus second molars with IP after a failed inferior alveolar nerve block (IANB). Read More

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http://dx.doi.org/10.1016/j.joen.2017.10.003DOI Listing
April 2018
8 Reads

Bone Graft and Substitutes Associated with Titanium Dome for Vertical Bone Formation in Osseointegrated Implants: Histomorphometric Analysis in Dogs.

Int J Oral Maxillofac Implants 2018 March/April;33(2):311–318. Epub 2018 Jan 19.

Purpose: This animal study investigated vertical bone formation (VBF) around implants and used histomorphometric analysis to compare different bone-filling materials associated with a massive titanium dome as a tissue barrier.

Materials And Methods: Seven dogs were submitted to surgical procedures with extraoral access to the lower edge of the mandible, and four implants were semi-inserted in each animal. Each implant received one treatment: autogenous bone with clot (AB), control clot (C), synthetic graft (Biogran [BG]), or xenograft (Bio-Oss [BO]). Read More

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http://quintpub.com/journals/omi/abstract.php?iss2_id=1518&a
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http://dx.doi.org/10.11607/jomi.5762DOI Listing
July 2018
6 Reads

Intraosseous Vascular Access Is Associated With Lower Survival and Neurologic Recovery Among Patients With Out-of-Hospital Cardiac Arrest.

Ann Emerg Med 2018 05 6;71(5):588-596. Epub 2018 Jan 6.

Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Study Objective: We seek to determine the effect of intraosseous over intravenous vascular access on outcomes after out-of-hospital cardiac arrest.

Methods: This secondary analysis of the Resuscitation Outcomes Consortium Prehospital Resuscitation Using an Impedance Valve and Early Versus Delayed (PRIMED) study included adult patients with nontraumatic out-of-hospital cardiac arrests treated during 2007 to 2009, excluding those with any unsuccessful attempt or more than one access site. The primary exposure was intraosseous versus intravenous vascular access. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2017.11.015DOI Listing
May 2018
1 Read

The intraosseous have it: A prospective observational study of vascular access success rates in patients in extremis using video review.

J Trauma Acute Care Surg 2018 Apr;84(4):558-563

From the Division of Traumatology, Surgical Critical Care and Emergency Surgery (K.M.C., R.P.D., M.J.S., P.K.K., P.M.R., L.J.K., D.N.H.), Division of Pulmonary and Critical Care (J.D.C.), and Center for Clinical Epidemiology and Biostatistics (J.D.C.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

Background: Quick and successful vascular access in injured patients arriving in extremis is crucial to enable early resuscitation and rapid OR transport for definitive repair. We hypothesized that intraosseous (IO) access would be faster and have higher success rates than peripheral intravenous (PIV) or central venous catheters (CVCs).

Methods: High-definition video recordings of resuscitations for all patients undergoing emergency department thoracotomy from April 2016 to July 2017 were reviewed as part of a quality improvement initiative. Read More

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http://dx.doi.org/10.1097/TA.0000000000001795DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5860964PMC
April 2018
11 Reads

Evaluation of Intraosseous Fluid as an Alternative Biological Specimen in Postmortem Toxicology.

J Anal Toxicol 2018 Apr;42(3):163-169

Department of Laboratory Medicine, University of California, San Francisco, CA, USA.

The postmortem redistribution phenomenon is an important factor in the interpretation of blood drug concentrations as a cause or factor in death. Intraosseous fluid (IOF) may serve as an alternative matrix for drug testing. Intraosseous fluid was collected from the left and right tibias and humerus of 29 decedents using the Arrow EZ-IO Intraosseous Vascular Access System. Read More

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http://dx.doi.org/10.1093/jat/bkx096DOI Listing
April 2018
10 Reads
2.630 Impact Factor

Experience With Prehospital Damage Control Capability in Modern Conflict: Results From Surgical Resuscitation Team Use.

J Spec Oper Med Winter 2017;17(4):68-71

Background: Early resuscitation and damage control surgery (DCS) are critical components of modern combat casualty care. Early and effective DCS capabilities can be delivered in a variety of settings through the use of a mobile surgical resuscitation team (SRT).

Methods: Twelve years of after-action reports from SRTs were reviewed. Read More

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March 2018
6 Reads

No intravenous access, no problem: Intraosseous administration of tranexamic acid is as effective as intravenous in a porcine hemorrhage model.

J Trauma Acute Care Surg 2018 Feb;84(2):379-385

Department of Surgery(M.S.L., D.M.M., J.M.M., M.L., S.M., M.J.E., M.J.M.), Madigan Army Medical Center, Fort Lewis, Washington; and Trauma and Emergency Surgery Service (M.J.M.), Legacy Emanuel Medical Center, Portland, Oregon.

Background: The acute coagulopathy of trauma is often accompanied by hyperfibrinolysis. Tranexamic acid (TXA) can reverse this phenomenon, and, when given early, decreases mortality from bleeding. Establishing intravenous (IV) access can be difficult in trauma and intraosseous (IO) access is often preferred for drug administration. Read More

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http://dx.doi.org/10.1097/TA.0000000000001741DOI Listing
February 2018
12 Reads

Observational review of paediatric intraosseous needle placement in the paediatric emergency department.

J Paediatr Child Health 2018 May 10;54(5):546-550. Epub 2017 Nov 10.

Department of Emergency Medicine, University of New Mexico, Albuquerque, New Mexico, United States.

Aim: Intraosseous (IO) access is a life-saving option during resuscitations in the paediatric emergency department (PED). This study aimed to compare success rates and time to placement for Manual IO versus EZ-IO needles in PED patients ≤8 and >8 kg.

Methods: This was a retrospective cross-sectional descriptive study of IO use in a single-centre tertiary PED from 2006 to 2014. Read More

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http://dx.doi.org/10.1111/jpc.13773DOI Listing
May 2018
16 Reads

Intentional intra-arterial injection of midazolam in a patient with status epilepticus in the Intensive Care Unit.

Saudi J Anaesth 2017 Oct-Dec;11(4):476-478

Department of Anaesthesia, Aga Khan University, Karachi, Pakistan.

Fundamental medical care includes intravenous (IV) access which provides prompt resuscitation and reliable delivery of analgesics, antibiotics, and vasoactive medication. Difficult access populations, especially in critical area, continue to challenge providers to consider and utilize alternative means to provide IV access. Potential options under such circumstances include intramuscular, intraosseous, and intratracheal drug administration, but in extreme cases where no other options are available, intra-arterial route might be considered. Read More

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http://dx.doi.org/10.4103/sja.SJA_93_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5637426PMC
October 2017
10 Reads

Applied anatomy for tibial intraosseous access in adults: A Radioanatomical Study.

Clin Anat 2018 May 27;31(4):593-597. Epub 2017 Oct 27.

Department of Anatomy, Ankara University School of Medicine, Ankara, Turkey.

Intraosseous access is a method for providing vascular access in resuscitation of critically ill and injured patients when traditional intravenous access is difficult or impossible. There is a lack of detailed description for the landmark for the insertion point in the literature. The aim of this study was to determine the exact location for intraosseous access. Read More

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http://dx.doi.org/10.1002/ca.22990DOI Listing
May 2018
12 Reads

Intraosseous blood samples for point-of-care analysis: agreement between intraosseous and arterial analyses.

Scand J Trauma Resusc Emerg Med 2017 Sep 11;25(1):92. Epub 2017 Sep 11.

Emergency Medicine and Services, Helsinki University Hospital and Department of Emergency Medicine, University of Helsinki, Finland, HYKS Akuutti, PL 340, 00029 HUS, Helsinki, Finland.

Background: Point-of-care (POC) testing is highly useful when treating critically ill patients. In case of difficult vascular access, the intraosseous (IO) route is commonly used, and blood is aspirated to confirm the correct position of the IO-needle. Thus, IO blood samples could be easily accessed for POC analyses in emergency situations. Read More

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http://dx.doi.org/10.1186/s13049-017-0435-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594606PMC
September 2017
12 Reads

Intramedullary placement of ventricular shunts: a review of using bone as a distal cerebrospinal absorption site in treating hydrocephalus.

Childs Nerv Syst 2017 Dec 23;33(12):2095-2098. Epub 2017 Aug 23.

Seattle Science Foundation, 550 17th Avenue, Suite 600, Seattle, WA, 98122, USA.

Purpose: Intraosseous (IO) vascular access has been used since the Second World War and is warranted when there is an emergency and/or urgent need to replenish the vascular pool. Despite long-term and satisfactory results from delivering large quantities of intravenous fluid via the medullary space of bone, use of this space for a distant receptacle for cerebrospinal fluid (CSF) diversion has seldom been considered.

Methods: The current paper reviews the literature regarding the bony medullary space as a receptacle for intravenous fluid and CSF. Read More

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http://dx.doi.org/10.1007/s00381-017-3575-yDOI Listing
December 2017
8 Reads

Comparison of time to obtain intraosseous versus jugular venous catheterization on canine cadavers.

J Vet Emerg Crit Care (San Antonio) 2017 Sep 10;27(5):506-511. Epub 2017 Aug 10.

Department of Emergency and Critical Care, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA, 01516.

Objective: To compare the time required and the success rate of personnel with 4 different levels of experience to place a humeral intraosseous (IO) catheter versus a jugular venous catheter (IV) in cadaver dogs.

Design: Prospective study.

Setting: Veterinary university teaching hospital. Read More

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http://dx.doi.org/10.1111/vec.12633DOI Listing
September 2017
13 Reads

Vascular access in pediatric patients in the emergency department: types of access, indications, and complications [digest].

Pediatr Emerg Med Pract 2017 Jun 22;14(6 Suppl Points & Pearls):S1-S2. Epub 2017 Jun 22.

Pediatric Emergency Medicine Chief Fellow, Emergency & Transport Medicine, Children's Hospital Los Angeles, Keck School of Medicine/University of Southern California, Los Angeles, CA.

Vascular access is a potentially life-saving procedure that is a mainstay of emergency medicine practice. There are a number of challenges associated with obtaining and maintaining vascular access, and the choice of the route of access and equipment used will depend on patient- and provider-specific factors. In this issue, the indications and complications of peripheral intravenous access, intraosseous access, and central venous access are reviewed. Read More

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June 2017
11 Reads

Soft tissue laceration caused by lower extremity intraosseous access insertion in an obese patient.

BMJ Case Rep 2017 Jul 24;2017. Epub 2017 Jul 24.

Medicine, Aventura Hospital and Medical Center, Aventura, Florida, USA.

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http://dx.doi.org/10.1136/bcr-2017-220069DOI Listing
July 2017
12 Reads

La pose de voie veineuse pédiatrique par les équipes de Smur adultes.

Soins Pediatr Pueric 2017 Jul - Aug;38(297):45-47

Service médical d'urgence, Brigade de sapeurs-pompiers de Paris, 1 place Jules-Renard, 75017 Paris, France.

Paediatric Venous Access Being Established By Adult Smur Teams: Paediatric perfusion during pre-hospital care is a major issue in the event of life-threatening emergencies. Access, often restricted, to backup specialising in paediatrics, implies the existence of practices on protocols for the adult mobile emergency and intensive care service (Smur) in partnership with paediatricians. Paediatric perfusion practices were assessed in these teams. Read More

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http://dx.doi.org/10.1016/j.spp.2017.05.012DOI Listing
December 2017
24 Reads