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Intraosseous access

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https://www.readbyqxmd.com/read/28045841/a-novel-method-of-intraosseous-infusion-of-adenosine-for-the-treatment-of-supraventricular-tachycardia-in-an-infant
#1
Krista Helleman, Amrit Kirpalani, Rodrick Lim
Supraventricular tachycardia is a common arrhythmia faced by emergency physicians in the pediatric population. In most cases, antecubital intravenous access can be established, and adenosine can be administered in a rapid and timely fashion. The role and administration of intraosseous adenosine are poorly established. We describe a case where the administration of adenosine was successful via a mixed method administration.
January 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28018682/bent-metal-in-a-bone-a-rare-complication-of-an-emergent-procedure-or-a-deficiency-in-skill-set
#2
Mridula Krishnan, Katherine Lester, Amber Johnson, Kaye Bardeloza, Peter Edemekong, Ilya Berim
Intraosseous (IO) access is an important consideration in patients with difficult intravenous (IV) access in emergent situations. IO access in adults has become more popular due to the ease of placement and high success rates. The most common sites of access include the proximal tibia and the humeral head. The complications associated are rare but can be catastrophic: subsequent amputation of a limb has been described in the literature. We report a 25-year-old female presenting with diabetic ketoacidosis (DKA) in whom emergent IO access was complicated by needle bending inside the humerus...
2016: Case Reports in Critical Care
https://www.readbyqxmd.com/read/27998615/analysis-of-intraosseous-blood-samples-using-an-epoc-point-of-care-analyzer-during-resuscitation
#3
Crystal Ives Tallman, Michael Darracq, Megann Young
BACKGROUND: In the early phases of resuscitation in a critically ill patient, especially those in cardiac arrest, intravenous (IV) access can be difficult to obtain. Intraosseous (IO) access is often used in these critical situations to allow medication administration. When no IV access is available, it is difficult to obtain blood for point of care analysis, yet this information can be crucial in directing the resuscitation. We hypothesized that IO samples may be used with a point of care device to obtain useful information when seconds really do matter...
December 12, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27984298/knowledge-skills-and-attitudes-concerning-intraosseous-access-among-hospital-physicians
#4
Lukasz Iskrzycki, Jacek Smereka, Lukasz Szarpak
No abstract text is available yet for this article.
January 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/27968755/alternative-access-routes-for-fluid-resuscitation
#5
REVIEW
Tami Lind
Fluid resuscitation in small animals is important in emergency situations and is utilized by every veterinary practice. Peripherally inserted intravenous catheters are an effective way of giving fluids to a veterinary patient. If an intravenous catheter is not obtainable, there are multiple other ways to administer fluids to a patient including dorsal pedal catheters, intraosseous catheters, central venous catheters, peripherally inserted central catheters, nasogastric tubes, nasoesophageal tubes and subcutaneous administration of fluids...
June 2016: Topics in Companion Animal Medicine
https://www.readbyqxmd.com/read/27958767/effect-of-a-connective-tissue-graft-in-combination-with-single-flap-approach-in-the-regenerative-treatment-of-intraosseous-defects
#6
Leonardo Trombelli, Anna Simonelli, Luigi Minenna, Giulio Rasperini, Roberto Farina
BACKGROUND: In the attempt to limit the post-surgery increase in buccal gingival recession (bREC), the effect of a connective tissue graft (CTG) when combined with a buccal Single Flap Approach (SFA) in the regenerative treatment of intraosseous defects was evaluated. METHODS: Data related to 30 patients with an intraosseous defect treated with buccal SFA with (SFA+CTG group; n= 15) or without (SFA group; n= 15) the placement of a CTG and regenerative treatment were retrospectively derived at three clinical centers...
December 13, 2016: Journal of Periodontology
https://www.readbyqxmd.com/read/27911381/a-novel-approach-for-the-administration-of-medications-and-fluids-in-emergency-scenarios-and-settings
#7
Akilesh Honasoge, Neal Lyons, Kathleen Hesse, Braden Parker, Robert Mokszycki, Kelly Wesselhoff, Rolla Sweis, Erik B Kulstad
The available routes of administration commonly used for medications and fluids in the acute care setting are generally limited to oral, intravenous, or intraosseous routes, but in many patients, particularly in the emergency or critical care settings, these routes are often unavailable or time-consuming to access. A novel device is now available that offers an easy route for administration of medications or fluids via rectal mucosal absorption (also referred to as proctoclysis in the case of fluid administration and subsequent absorption)...
November 9, 2016: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/27870553/comparison-of-two-intraosseous-devices-the-nio-versus-the-ez-io-by-novice-users-a-randomized-cross-over-trial
#8
Avi Shina, Erez Nissim Baruch, Amir Shlaifer, Ami Shovali, Moran Levi, Or Yosefy, David Segal, Tarif Bader, Itai Shavit, Avraham Yitzhak
BACKGROUND: During resuscitation in the field, intraosseous (IO) access may be achieved using a variety of available devices, often attempted by inexperienced users. AIM: We sought to examine the success rate and ease-of-use ratings of an IO device, the NIO® (New Intraosseous Persys Medical, Houston, TX, USA) in comparison to the Arrow® EZ-IO® (Teleflex Medical Research Triangle Park, NC, USA) by novice users. METHODS: We performed a randomized crossover trial...
November 21, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27849905/263-adequacy-of-intraosseous-vascular-access-insertion-sites-for-high-volume-fluid-infusion
#9
Tatiana Puga, Diana Montez, Thomas Philbeck, Chris Davlantes
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849895/253-48-hours-dwell-time-for-intraosseous-access-a-longer-term-infusion-using-a-temporary-solution
#10
Chris Davlantes, Tatiana Puga, Diana Montez, Thomas Philbeck, Larry Miller, Emanuel DeNoia
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27809922/analysis-of-thromboelastography-pt-aptt-and-fibrinogen-in-intraosseous-and-venous-samples-an-experimental-study
#11
Gunnar Strandberg, Miklós Lipcsey, Mats Eriksson, Norbert Lubenow, Anders Larsson
BACKGROUND: Laboratory analysis of coagulation is often important in emergencies. If vascular access is challenging, intraosseous catheterization may be necessary for treatment. We studied the analysis of coagulation parameters in intraosseous aspirate during stable conditions and after major haemorrhage in a porcine model. METHODS: Ten anesthetized pigs received central venous and intraosseous catheters and samples were taken for analysis of thromboelastography (TEG), prothrombin time (PT), activated partial thromboplastin time (APTT) and fibrinogen concentration...
November 3, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27779964/intraosseous-infusion-as-a-bridge-to-definitive-access
#12
Megan Johnson, Kenji Inaba, Saskya Byerly, Erika Falsgraf, Lydia Lam, Elizabeth Benjamin, Aaron Strumwasser, Jean-Stephane David, Demetrios Demetriades
Intraosseous (IO) needle placement is an alternative for patients with difficult venous access. The purpose of this retrospective study was to examine indications and outcomes associated with IO use at a Level 1 trauma center (January 2008-May 2015). Data points included demographics, time to insertion, intravenous (IV) access points, indications, infusions, hospital and intensive care unit length of stay, and mortality. Of 68 patients with IO insertion analyzed (63.2% blunt trauma, 29.4% penetrating trauma, and 7...
October 2016: American Surgeon
https://www.readbyqxmd.com/read/27687698/evaluation-of-intraosseous-sampling-for-measurements-of-alanine-aminotransferase-alkaline-phosphatase-aspartate-aminotransferase-creatinine-kinase-gamma-glutamyl-transferase-and-lactate-dehydrogenase
#13
Mats Eriksson, Gunnar Strandberg, Miklós Lipcsey, Anders Larsson
BACKGROUND: Intraosseous (IO) access can be established faster than a venous or arterial access when there is an urgent need for rapid initiation of treatment. The access can also be used to draw marrow samples. The aim of the present study was to evaluate the potential use of IO samples for enzyme determinations using a porcine model. MATERIALS AND METHODS: Bilateral tibial intraosseous cannulae and an arterial catheter were used for blood sampling from five healthy anesthetized pigs...
December 2016: Scandinavian Journal of Clinical and Laboratory Investigation
https://www.readbyqxmd.com/read/27669404/use-of-intraosseous-devices-in-trauma-a-survey-of-trauma-practitioners-in-canada-australia-and-new-zealand
#14
Paul T Engels, Mete Erdogan, Sandy L Widder, Michael B Butler, Nelofar Kureshi, Kate Martin, Robert S Green
BACKGROUND: Although used primarily in the pediatric population for decades, the use of intraosseous (IO) devices in the resuscitation of severely injured adult trauma patients has recently become more commonplace. The objective of this study was to determine the experience level, beliefs and attitudes of trauma practitioners in Canada, Australia and New Zealand regarding the use of IO devices in adult trauma patients. METHODS: We administered a web-based survey to all members of 4 national trauma and emergency medicine organizations in Canada, Australia and New Zealand...
October 1, 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/27623218/point-of-care-ultrasound-diagnosis-of-intravascular-air-after-lower-extremity-intraosseous-access
#15
Benjamin Azan, Felipe Teran, Bret P Nelson, Phillip Andrus
BACKGROUND: Vascular air embolism is a rare but potentially deadly phenomenon. Early diagnosis allows providers to initiate measures aimed at preventing further air entry, preventing the migration of air to the lungs, and mitigating the hemodynamic effects of pulmonary air embolism. CASE REPORT: An emergency physician used point-of-care ultrasound to identify intravascular air before embolization to the pulmonary vasculature. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Bedside ultrasound can be used as a tool for early diagnosis of intravascular air...
December 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27575561/ultrasound-to-improve-target-site-identification-for-proximal-humerus-intraosseous-vascular-access
#16
Sergio Bustamante, Shravan Cheruku
No abstract text is available yet for this article.
August 29, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27572932/ct-angiography-of-the-chest-and-abdomen-in-an-emergency-patient-via-humeral-intraosseous-access
#17
Nils Markus Budach, Stefan Markus Niehues
A 69-year-old woman was taken to our emergency department after having been found unconscious. An intraosseous catheter was placed in the head of the right humerus due to inaccessible peripheral veins. With the suspected diagnosis of shock, pulmonary embolism, and mesenteric ischemia, a CT scan of the chest and abdomen was initiated. Pulmonary embolism and mesenteric arterial embolism could be ruled out at excellent image quality.
August 29, 2016: Emergency Radiology
https://www.readbyqxmd.com/read/27522216/evidence-on-adrenaline-use-in-resuscitation-and-its-relevance-to-newborn-infants-a-non-systematic-review
#18
Merlin Pinto, Anne Lee Solevåg, Megan OʼReilly, Khalid Aziz, Po-Yin Cheung, Georg M Schmölzer
AIM: Guidelines for newborn resuscitation state that if the heart rate does not increase despite adequate ventilation and chest compressions, adrenaline administration should be considered. However, controversy exists around the safety and effectiveness of adrenaline in newborn resuscitation. The aim of this review was to summarise a selection of the current knowledge about adrenaline during resuscitation and evaluate its relevance to newborn infants. METHODS: A search in PubMed, Embase, and Google Scholar until September 1, 2015, using search terms including adrenaline/epinephrine, cardiopulmonary resuscitation, death, severe brain injury, necrotizing enterocolitis, bronchopulmonary dysplasia, and adrenaline versus vasopressin/placebo...
2017: Neonatology
https://www.readbyqxmd.com/read/27494435/adult-intraosseous-access-by-advanced-emts-a-statewide-non-inferiority-study
#19
Daniel L Wolfson, Margaret A Tandoh, Mohit Jindal, Patrick M Forgione, Valerie S Harder
OBJECTIVE: Intraosseous (IO) access is increasingly being used as an alternative to peripheral intravenous access, which is often difficult or impossible to establish in critically ill patients in the prehospital setting. Until recently, only Paramedics performed adult IO access. In 2014, Vermont Emergency Medical Services (EMS) expanded the Advanced Emergency Medical Technicians (AEMTs) scope of practice to include IO access in adult patients. This study compares successful IO access in adults performed by AEMTs compared to Paramedics in the prehospital setting...
January 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27479261/-case-report-bilateral-humeral-intraosseous-access-for-cpr-in-a-3-years-old-child
#20
Thorsten Hess, Roman Böhmer, Florian Arndt, Gernot Lorber, Jochen Herrmann, Klaus Püschel, Thoralf Kerner
On-scene invasive emergency procedures, such as intraosseous puncture, are often unavoidable, when indicated, and present a challenge for the emergency physician. Personal, temporal or local conditions are often unsuitable. Even with regular intervention by the emergency medical service, "last resort" measures occur very infrequently, particularly in pediatric emergencies. For the first time, this case report presents the use of intraosseous access at the humeral head with children, with reference to indication, implementation, problems and risks...
July 2016: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
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