open access
Intraosseous access — future, present and everyday life
open access
Abstract
Today, intraosseous access (IO) is not only an alternative method of administration of pharmacotherapy or fluids; it is often used in life-threatening conditions. Although previously, it was a method commonly used in paediatrics or in the military, for several years it has been advocated as the primary access point for patients in a critical condition. While this applies mainly to children, it may also include adults in a hospital setting, as well as in the emergency department. Oftentimes it is used when intravenous access is difficult or the patient is seriously ill. Many scientific circles at the American Heart Association (AHA) and European Resuscitation Council (ERC) approve this method.
Abstract
Today, intraosseous access (IO) is not only an alternative method of administration of pharmacotherapy or fluids; it is often used in life-threatening conditions. Although previously, it was a method commonly used in paediatrics or in the military, for several years it has been advocated as the primary access point for patients in a critical condition. While this applies mainly to children, it may also include adults in a hospital setting, as well as in the emergency department. Oftentimes it is used when intravenous access is difficult or the patient is seriously ill. Many scientific circles at the American Heart Association (AHA) and European Resuscitation Council (ERC) approve this method.
Keywords
intraosseous access (IO), intravenous access (IV), life-threatening condition, BIG, FAST, NIO
About this articleTitle
Intraosseous access — future, present and everyday life
Journal
Disaster and Emergency Medicine Journal
Issue
Pages
19-26
Published online
2017-03-31
Page views
1447
Article views/downloads
5179
DOI
Bibliographic record
Disaster Emerg Med J 2017;2(1):19-26.
Keywords
intraosseous access (IO)
intravenous access (IV)
life-threatening condition
BIG
FAST
NIO
Authors
Agata Dabrowska
Marek Dabrowski
Karol Bielski
Adrian Maciejewski
Emilia Surzyn
References (28)- Link MS, Berkow LC, Kudenchuk PJ, et al. Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015; 132(18 Suppl 2): S444–S464.
- Soar J, Nolan JP, Böttiger BW, et al. Adult advanced life support section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support. Resuscitation. 2015; 95: 100–147.
- Deakin CD, Nolan JP, Soar J, et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support. Resuscitation. 2010; 81(10): 1305–1352.
- Drinker CK, Drinker KR, Lund CC. The circulation of the mammalian bone marrow. Am J Physiol. 1922; 62: 1–92.
- Isayama K, Nakatani T, Tsuda M, et al. Current status of establishing a venous line in CPA patients by Emergency Life-Saving Technicians in the prehospital setting in Japan and a proposal for intraosseous infusion. Int J Emerg Med. 2012; 5(1): 2.
- Day MW. Intraosseous devices for intravascular access in adult trauma patients. Crit Care Nurse. 2011; 31(2): 76–89.
- Maconochie IK, Bingham R, Eich C, et al. Paediatric life support section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 6. Paediatric life support. Resuscitation. 2015; 95: 223–248.
- Resuscitation Council (UK) (2011) Provider Manual for use in the UK: European Paediatric Life Support Course (3rd Edition). London, BMJ. www.resus.org.uk.
- Day MW. Intraosseous devices for intravascular access in adult trauma patients. Crit Care Nurse. 2011; 31(2): 76–89.
- Buck ML, Wiggins BS, Sesler JM. Intraosseous drug administration in children and adults during cardiopulmonary resuscitation. Ann Pharmacother. 2007; 41(10): 1679–1686.
- Kovar J, Gillum L. Alternate route: the humerus bone - a viable option for IO access. JEMS. 2010; 35(8): 52–59.
- Tocantins LM. Rapid Absorption of Substances Injected into the Bone Marrow. Experimental Biology and Medicine. 1940; 45(1): 292–296.
- Dubick MA, Holcomb JB. A review of intraosseous vascular access: current status and military application. Mil Med. 2000; 165(7): 552–559.
- Frascone R, Dries D, Gisch T, et al. Obtaining vascular access: is there a place for the sternal IO? Air Med J. 2001; 20(6): 20–22.
- Porth CM. Structure and function of the musculoskeletal system. In: Porth CM. ed. Pathophysiology: Concepts of Altered Health States. 7th ed. Lippincott Williams &Wilkins, Philadelphia, PA 2005: 1357–1366.
- www.boundtree.com/jamshidi-intraosseous-io-needles-group (March 2017).
- www.ps-med.com/products/vascular/BIG.
- www. ps-med.com/products/vascular/NIO (March 2017).
- http://www.pyng.com/fast1 (March 2017).
- Wagner MB, McCabe JB. A comparison of four techniques to establish intraosseous infusion. Pediatr Emerg Care. 1988; 4(2): 87–91.
- Day MW. Intraosseous devices for intravascular access in adult trauma patients. Crit Care Nurse. 2011; 31(2): 76–89.
- www.arrowezio.com/ezio (March 2017).
- Gerritse BM, Scheffer GJ, Draaisma JM. Prehospital intraosseus access with the bone injection gun by a helicopter-transported emergency medical team. J Trauma. 2009; 66(6): 1739–1741.
- Gazin N, Auger H, Jabre P, et al. Efficacy and safety of the EZ-IO™ intraosseous device: Out-of-hospital implementation of a management algorithm for difficult vascular access. Resuscitation. 2011; 82(1): 126–129.
- Schwartz D, Amir L, Dichter R, et al. The use of a powered device for intraosseous drug and fluid administration in a national EMS: a 4-year experience. J Trauma. 2008; 64(3): 650–655.
- Leidel BA, Kirchhoff C, Braunstein V, et al. Comparison of two intraosseous access devices in adult patients under resuscitation in the emergency department: A prospective, randomized study. Resuscitation. 2010; 81(8): 994–999.
- Szarpak L, Truszewski Z, Smereka J, et al. A Randomized Cadaver Study Comparing First-Attempt Success Between Tibial and Humeral Intraosseous Insertions Using NIO Device by Paramedics: A Preliminary Investigation. Medicine (Baltimore). 2016; 95(20): e3724.
- Hartholt KA, van Lieshout EMM, Thies WC, et al. Intraosseous devices: a randomized controlled trial comparing three intraosseous devices. Prehosp Emerg Care. 2010; 14(1): 6–13.