Use of intraosseous hypertonic saline in critically ill patients

被引：6

作者：

Farrokh, Salia ^{[1
]}

Cho, Sung-Min ^{[2
]}

Lefebvre, Austen T. ^{[2
]}

Zink, Elizabeth K. ^{[2
]}

Schiavi, Adam ^{[2
,3
]}

Puttgen, Hans A. ^{[2
,3
]}

机构：

[1] Johns Hopkins Univ Hosp, Dept Pharm Crit Care & Surg Pharm, Neurosci Crit Care Unit, 600 North Wolfe St,Carnegie 180, Baltimore, MD 21287 USA

[2] Johns Hopkins Univ Hosp, Dept Anesthesiol & Crit Care Med, Baltimore, MD 21287 USA

[3] Johns Hopkins Univ Hosp, Dept Neurol, Baltimore, MD 21287 USA

来源：

JOURNAL OF VASCULAR ACCESS | 2019年 / 20卷 / 04期

关键词：

Intraosseous; hypertonic saline; critical care; osmotic therapy; neurologic emergency; extravasation; TRAUMATIC BRAIN-INJURY; VASCULAR ACCESS; INTRACRANIAL HYPERTENSION; MANAGEMENT; INFUSION; PRESSURE;

D O I：

10.1177/1129729818805958

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Background: Rapid administration of hypertonic saline 23.4% is crucial in treatment of herniation syndromes. Hypertonic 23.4% saline must be administered via a central line. In cases where central line access is difficult to obtain and leads to delay in therapy, placement of intraosseous access can be lifesaving. Main body: The purpose of this case series is to describe the use of intraosseous administration of 23.4% saline in critically ill patients and to assess feasibility. Conclusion: Intraosseous administration of 23.4% saline in 6 adult patients with neurological emergencies was feasible and should be considered in cases where obtaining intravenous access is time consuming.

引用

页码：427 / 432

页数：6

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