Intraosseous Access Techniques

Producción científica: Chapter

Resumen

Clinicians commonly face frustration when working to gain access to a patient’s circulation during emergency situations. Frequently, traditional attempts to establish peripheral intravenous access are complicated by the decreased venous flow seen in patients in shock or cardiac arrest. First described in 1922, intraosseous infusions offer a safe and rapid alternative method of vascular access during emergent resuscitations and carry less risk than accessing larger veins through blind or ultrasound-guided central venous catheterization. Intraosseous access is indicated in patients who are unlikely to have traditional vascular access initiated in a safe or timely manner and is recommended and taught during numerous training programs including Advanced Cardiac Life Support, Advanced Trauma Life Support, Pediatric Advanced Life Support, and Tactical Combat Casualty Care. Clinicians are often reluctant to place an intraosseous needle for fear of causing the patient pain. However, this fear is misplaced as patients report that intraosseous needle placement is less painful than other commonly performed emergent procedures. Pain associated with infusions of large volumes of fluids can be mitigated with the use of intravenous lidocaine. It is important to note that any medication or fluid that can be given through traditional intravenous access may also be delivered through intraosseous access. Infectious complications are rare and are minimized through the use of aseptic technique.

Idioma originalEnglish (US)
Título de la publicación alojadaInterventional Critical Care
Subtítulo de la publicación alojadaA Manual for Advanced Practice Providers
EditorialSpringer International Publishing
Páginas139-153
Número de páginas15
ISBN (versión digital)9783030646615
ISBN (versión impresa)9783030646608
DOI
EstadoPublished - ene 1 2021
Publicado de forma externa

ASJC Scopus subject areas

  • General Medicine
  • General Nursing

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