Effectiveness of intraosseous access during resuscitation: a retrospective cohort study

Effectiveness of intraosseous access during resuscitation: a retrospective cohort study

During resuscitation in emergency situations, establishing intravascular access is crucial for promptly initiating delivery of fluids, blood, blood products, and medications. In cases of emergency, when intravenous (IV) access proves unsuccessful, intraosseous (IO) access serves as a viable alternative. However, there is a notable lack of information concerning the frequency and efficacy of IO access in acute care settings. This study aims to assess the efficacy of intraosseous (IO) access in acute care settings, especially focusing on children in a level 1 trauma center.

Of the 109,548 patients that were admitted to the ED, 25,686 IV lines were inserted. Documentation of 188 patients of which 73 (38.8%) children was complete and used for analysis. In these 188 patients, a total of 232 IO accesses were placed. Overall, 182 patients had a functional IO access (204 needles) (88%). In children (age < 18 years) success rate was lower as compared to adults, 71–84% as compared to 94%. However, univariate regression showed no association between the percentage of functional IO access and gender, age, weight, health care location (prehospital and in hospital), anatomical position (tibia as compared to humerus) or type of injury.

Tim W.H. Rijnhout, Marin Kieft, Willemijn M. Klein & Edward C.T.H. Tan

https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01103-w

BMC Emergency Medicine

15 oktober 2024

Fajar bagus W

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