Intraosseous infusion for adults

被引:0
作者
Leidel, B. A. [1 ,2 ]
Kirchhoff, C. [1 ,3 ]
机构
[1] Klinikum Univ Munich, Chirurg Klin & Poliklin, D-80336 Munich, Germany
[2] Klinikum Univ, Team DRF, HDM Luftrettung, Christoph Munchen,Luftrettungszentrum, Munich, Germany
[3] Emergency Management Queensland & CareFlight Med, EMQ Helicopter Rescue Cairns, Brisbane, Qld, Australia
来源
CHIRURG | 2008年 / 79卷 / 04期
关键词
intraosseous access device; intraosseous catheter; intraosseous infusion; vascular access;
D O I
10.1007/s00104-007-1445-y
中图分类号
R61 [外科手术学];
学科分类号
摘要
Intraosseous (IO) infusion methods have been common for emergency treatment in infants and children for years. The role of IO access in adults is however much less clear, but its importance in this patient group is increasing, and different devices are available today. Each device has strengths and weaknesses, but all achieve rapid vascular access even in challenging situations. The potential of IO access regarding both therapeutic and diagnostic options has been shown in several operational studies in and out of hospital. Insertion times require between 1 and 2 min in most cases, while insertion and handling of the IO access devices seem to be easy and reliable. The flow rates of IO access devices for adults are lower than those of large-bore peripheral intravenous catheters, but fluid resuscitation is possible in most cases at least with pressure bag infusion systems. Most drugs administered intravenously can be given intraosseously in equivalent dosages and with the same effects. Nevertheless the limitations and risks of IO access routes need to be considered for each application. Rapid IO access is now possible in all age groups, and the 2005 AHA Guidelines favor it over drug administration via the endotracheal tube.
引用
收藏
页码:315 / +
页数:10
相关论文
共 50 条
  • [41] Fat embolism with the use of intraosseous infusion during cardiopulmonary resuscitation
    Fiallos, M
    Kissoon, N
    Abdelmoneim, T
    Johnson, L
    Murphy, S
    Lu, L
    Masood, S
    Idris, A
    AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1997, 314 (02) : 73 - 79
  • [42] Intraosseous infusion. An important technique also for paediatric anaesthesia
    Weiss, M.
    Henze, G.
    Eich, C.
    Neuhaus, D.
    ANAESTHESIST, 2009, 58 (09): : 863 - +
  • [43] A retrospective study concerning intraosseous infusion in 30 children.
    Claudet, I
    Fries, F
    Bloom, MC
    Lelong-Tissier, MC
    ARCHIVES DE PEDIATRIE, 1999, 6 (05): : 516 - 519
  • [44] THE EFFECTS OF INTRAOSSEOUS INFUSION ON THE GROWTH PLATE IN A NESTLING RABBIT MODEL
    DEDRICK, DK
    MASE, C
    RANGER, W
    BURNEY, RE
    ANNALS OF EMERGENCY MEDICINE, 1992, 21 (05) : 494 - 497
  • [45] Compartment syndrome after intraosseous infusion: An experimental study in dogs
    Gunal, I
    Kose, N
    Gurer, D
    JOURNAL OF PEDIATRIC SURGERY, 1996, 31 (11) : 1491 - 1493
  • [46] Tibial length following intraosseous infusion: A prospective, radiographic analysis
    Fiser, RT
    Walker, WM
    Seibert, JJ
    McCarthy, R
    Fiser, DH
    PEDIATRIC EMERGENCY CARE, 1997, 13 (03) : 186 - 188
  • [47] S1 Guideline: The intraosseous Infusion in Emergency Medicine
    Bernhard, M.
    Boettiger, B. W.
    Fischer, M.
    Graesner, J. T.
    Gries, A.
    Helm, M.
    Becke, K.
    Eich, C.
    Hoehne, C.
    Landsleitner, B.
    Strauss, J.
    Weiss, M.
    ANASTHESIOLOGIE & INTENSIVMEDIZIN, 2018, 59 : 667 - 677
  • [48] Hacking Intraosseous Infusion Skills Training With 3D Printing: maxSIMIO Drilling System
    Clarke, Krystina M.
    Micallef, Julia
    Jolly, Amanpreet K.
    Sivanathan, Mithusa
    Siraj, Samyah
    Button, Dale
    Patey, Christopher
    Dubrowski, Adam
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2022, 14 (11)
  • [49] Intraosseous access in adults in cardiac arrest: a systematic review and meta-analysis
    Morales-Cane, Ignacio
    del Rocio Valverde-Leon, Maria
    Aurora Rodriguez-Borrego, Maria
    Jesus Lopez-Soto, Pablo
    EMERGENCIAS, 2020, 32 (01): : 49 - 56
  • [50] The Use of Intraosseous Infusion in the Early Resuscitation of Patients With Extremely Severe Burns
    Wang, Yuwei
    Zhou, Shuaishuai
    Wang, Lizhu
    Fang, Jue
    Zhang, Yukun
    Shi, Lili
    Lin, Gaoxing
    Zhang, Mangwei
    Wang, Sa
    JOURNAL OF BURN CARE & RESEARCH, 2024, 45 (02) : 520 - 524