| Autor: |
Reinhardt, L., Brenner, Th., Bernhard, M., Knapp, J., Sikinger, M., Martin, E., Helm, M., Popp, E. |
| Předmět: |
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| Zdroj: |
Central European Journal of Medicine; Apr2013, Vol. 8 Issue 2, p166-171, 6p |
| Abstrakt: |
Objective: In emergency medicine, the intraosseous access (IOA) is the alternative to the intravenous access. Our aim was to evaluate the use of a semiautomatic IOA device (EZ-IO®) in ground and air based physician staffed emergency medical systems and at a university hospital. Methods: Since January 2008, the EZ-IO® system was evaluated prospectively for four years and analysed statistically. Results: 83 IOA were performed in prehospital and 5 in in-hospital setting. 78% of the patients were adults; 22% were children between 7 days and 6 years. 98% of all patients were in potentially life-threatening situations (NACA IV-VII). IOA was established during CPR in 55%. The primary insertion site was the proximal tibia (98%). In children, IOA was used significantly more often as primary access to the vascular system than in adults (86.2% vs. 38.9%, p <0.001). First attempt/overall success rates were 94% / 99%. Unsuccessful attempts occurred in 7.8% (n=7). In the prehospital ground based physician staffed EMS, IOA was established in 69 of 20.175 missions (0.34%). Conclusions: The semiautomatic EZ-IO® system is an effective method for achieving vascular access. In critically ill children, it was used more often as first approach to the vascular system compared with adults. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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