630 results match your criteria Intraosseous Access


Reduced Complications of Supraclavicular Approach in Simulated Central Venous Access: Applicability to Military Medicine.

Mil Med 2019 Mar;184(Supplement_1):329-334

Department of Anesthesiology, 1600 SW Archer Road, Gainesville, FL.

In a study with 76 anesthesia providers on a mixed reality simulator, central venous access via the supraclavicular approach to the subclavian vein, without ultrasonography required less attempts compared to the infraclavicular approach. Participants had shorter times to venous access and larger improvements in confidence. Results from this simulation-based study indicate that the supraclavicular approach may deserve consideration as an alternative approach for central venous access in deployed military environments. Read More

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http://dx.doi.org/10.1093/milmed/usy381DOI Listing

Distribution of the maxillary artery in the deep regions of the face and the maxilla: Clinical applications.

Authors:
Gaoussou Touré

J Plast Reconstr Aesthet Surg 2019 Mar 1. Epub 2019 Mar 1.

Service de chirurgie maxillo-faciale et chirurgie plastique de la face, CHI Villeneuve Saint Georges, 40 allée de la source, Villeneuve Saint-Georges 94195, France; Laboratoire Anatomie, URDIA, ANCRE - Université Paris Descartes, 45 rue des Saints-Pères Paris 75006, France. Electronic address:

Composite tissue allotransplantation of the face has led to renewed interest in the vascularization of the maxilla. The maxillary artery, which is deep within the tissue and difficult to access, is considered the main artery of the maxilla. The objective of this study was to describe the distribution of the maxillary artery in the deep regions of the face and maxilla. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.02.008DOI Listing

Pediatric Prehospital Intraosseous Access During Combat Operations in Iraq and Afghanistan.

Pediatr Emerg Care 2019 Mar 19. Epub 2019 Mar 19.

University of Colorado School of Medicine, Aurora, CO.

Background: Vascular access in critically ill pediatric patients can be challenging with delays potentially leading to worse outcomes. Intraosseous (IO) access has a low rate of complications and can be utilized to administer lifesaving medications. Combat medics are trained to treat adults but may also be required to treat children in the deployed setting. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001818DOI Listing
March 2019
1 Read

The Prehospital Trauma Registry Experience With Intraosseous Access.

J Spec Oper Med Spring 2019;19(1):52-55

Background: Peripheral intravenous (IV) cannulation is often difficult to obtain in a patient with hemorrhagic shock, delaying the appropriate resuscitation of critically ill patients. Intraosseous (IO) access is an alternative method. To date, few data exist on use of this procedure by ground forces in Afghanistan. Read More

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http://dx.doi.org/DOI Listing
March 2019
2 Reads

Transvenous embolization of the dural arteriovenous fistula of the anterior condylar confluence via the intercavernous sinus assisted by bone subtraction computed tomography angiography.

World Neurosurg 2019 Mar 8. Epub 2019 Mar 8.

Department of Neurosurgery, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.

Background: Dural arteriovenous fistulae (dAVF) of the anatomically complex anterior condylar confluence (ACC) are often examined by computed tomography (CT) angiography and conventional angiography before treatment. Contrasted vessels often overlap with skull bones in enhanced CT and make it difficult to detect the shunt point of dAVF. Bone subtraction CT angiography (BSCTA) can overcome this limitation and allow for superior imaging of dAVF that may help to find an alternative access for catheterization. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.02.175DOI Listing
March 2019
2 Reads

The effect of hemorrhagic shock and intraosseous adrenaline injection on the delivery of a subsequently administered drug - an experimental study.

Scand J Trauma Resusc Emerg Med 2019 Mar 8;27(1):29. Epub 2019 Mar 8.

Section of Anesthesiology & Intensive Care, Department of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.

Background: Intraosseous (IO) access is a recommended method when venous access cannot be rapidly established in an emergency. Experimental data suggest that major hemorrhage and catecholamine administration both reduce bone marrow blood flow. We studied the uptake of gentamicin as a tracer substance administered IO following adrenaline administration in hemorrhagic shock and in cardiac arrest. Read More

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http://dx.doi.org/10.1186/s13049-018-0569-zDOI Listing
March 2019
3 Reads

Comparison of ROTEM parameters from venous and intraosseous blood.

Sci Rep 2019 Mar 6;9(1):3741. Epub 2019 Mar 6.

Department of Anaesthesia, Critical Care and Pain Medicine, Division of General Anaesthesia and Intensive Care Medicine, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

Rotational thromboelastometry is recommended to guide haemostatic therapy in trauma-related coagulopathy. In the case of unsuccessful venepuncture, intraosseous access allows immediate administration of drugs and volume replacement. Feasibility of rotational thromboelastometry from intraosseous blood has not yet been investigated in humans. Read More

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http://www.nature.com/articles/s41598-019-40412-0
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http://dx.doi.org/10.1038/s41598-019-40412-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6403318PMC
March 2019
3 Reads

Hypovolemic Shock in a Child: A Pediatric Simulation Case.

MedEdPORTAL 2018 Mar 16;14:10694. Epub 2018 Mar 16.

Professor, Department of Pediatrics, Robert Larner, MD, College of Medicine at the University of Vermont.

Introduction: Volume depletion is a common problem in pediatrics. Interns need to be able to recognize critical illness such as hypovolemic shock, obtain access, and manage complications. This simulation case involves a child with hypovolemic shock who requires intraosseous (IO) needle placement. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10694DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342355PMC
March 2018
2 Reads

Point-of-care laboratory analyses of intraosseous, arterial and central venous samples during experimental cardiopulmonary resuscitation.

Resuscitation 2019 Apr 20;137:124-132. Epub 2019 Feb 20.

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

Introduction: Screening and correcting reversible causes of cardiac arrest (CA) are an essential part of cardiopulmonary resuscitation (CPR). Point-of-care (POC) laboratory analyses are used for screening pre-arrest pathologies, such as electrolyte disorders and acid-base balance disturbances. The aims of this study were to compare the intraosseous (IO), arterial and central venous POC values during CA and CPR and to see how the CPR values reflect the pre-arrest state. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2019.02.014DOI Listing
April 2019
1 Read

Comparison of two different intraosseous access methods in a physician-staffed helicopter emergency medical service - a quality assurance study.

Scand J Trauma Resusc Emerg Med 2019 Feb 13;27(1):15. Epub 2019 Feb 13.

Department of Anesthesia and Intensive Care, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway.

Background: Intravenous access in critically ill and injured patients can be difficult or impossible in the field. Intraosseous access is a well-established alternative to achieve access to a noncollapsible vascular network. We wanted to compare the use of a sternal and tibial/humeral intraosseous device in a physician-staffed helicopter emergency medical service. Read More

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http://dx.doi.org/10.1186/s13049-019-0594-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373167PMC
February 2019
2 Reads

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
1 Read

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
3 Reads

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
2 Reads

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
3 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
11 Reads

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

Neurocrit Care 2019 Apr;30(2):364-371

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
April 2019
23 Reads

Intraosseous versus intravenous access in patients with out-of-hospital cardiac arrest: Insights from the resuscitation outcomes consortium continuous chest compression trial.

Resuscitation 2019 Jan 1;134:69-75. 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
January 2019
2 Reads

[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
11 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
3 Reads

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

J Emerg Nurs 2019 Mar 12;45(2):155-160. 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
March 2019
5 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
9 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
10 Reads

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
4 Reads

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
14 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
18 Reads

Analysing blood from intraosseous access: a systematic review.

Eur J Emerg Med 2019 Apr;26(2):77-85

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
April 2019
5 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
3 Reads

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
11 Reads

[Safe Vascular Access - the Guideline of the Association of Anaesthesists of Great Britain and Ireland 2016].

Authors:
Lars Bergmann

Anasthesiol Intensivmed Notfallmed Schmerzther 2018 Jun 26;53(6):458-465. Epub 2018 Jun 26.

This guideline was presented in 2016 due to the need for an up to date evidence-based guidance focusing on patient safety. In addition to safety-related aspects of catheter insertion or removal, organisational issues and structured training concepts were discussed. The guideline was created based on the review of current literature as well as expert opinion. Read More

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http://dx.doi.org/10.1055/s-0043-104546DOI Listing
June 2018
1 Read

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
18 Reads

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

Paediatr Drugs 2018 Oct;20(5):417-428

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
October 2018
4 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
4 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
4 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
5 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
8 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
7 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
39 Reads

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

J Trop Pediatr 2018 04;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
8 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
Publisher Site
http://dx.doi.org/10.1097/TA.0000000000001850DOI Listing
June 2018
22 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
7 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
Publisher Site
http://dx.doi.org/10.1097/PCC.0000000000001473DOI Listing
June 2018
13 Reads

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

Mil Med 2018 05;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
14 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
9 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
9 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
Publisher Site
http://dx.doi.org/10.11607/jomi.5762DOI Listing
July 2018
9 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
4 Reads

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 04;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
16 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
12 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
8 Reads