Intraosseous infusion: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 1: Line 1:
{{SI}}
{{SI}}
'''Editor-In-Chief:''' James Paxton, MD MBA, Department of Emergency Medicine,Henry Ford Hospital, Detroit, MI [mailto:jpaxton1@hfhs.org]
'''Editor-In-Chief:''' James H. Paxton, MD MBA, Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI [mailto:jpaxton1@hfhs.org]


{{Editor Join}}
{{Editor Join}}


==Overview==
==Overview==
'''Intraosseous infusion''' is the process of [[Injection (medicine)|injection]] directly into the [[marrow]] of the bone.  The needle is injected through the bone's hard cortex and into the soft marrow interior.
'''Intraosseous (IO) infusion''' is the [[Injection (medicine)|injection]] of fluids or medications directly into the bone [[marrow]] through a specialized intraosseous needle. Fluids and medications administered via IO infusion are picked up by the venous network draining the bone marrow for delivery to the central venous circulation.


This route of fluid and medication administration is an alternate one to the preferred IV route when the latter can't be established in a timely manner especially during cardiac arrest.<ref>{{cite web |url=http://www.nda.ox.ac.uk/wfsa/html/u12/u1210_01.htm |title=Intraosseous Infusion |accessdate=2007-08-23 |format= |work=|author=Vreede E, Bulatovic A, Rosseel P, Lassalle X}}</ref>
This route of fluid and medication administration is an alternate one to the preferred IV route when the latter can't be established in a timely manner especially during cardiac arrest.<ref>{{cite web |url=http://www.nda.ox.ac.uk/wfsa/html/u12/u1210_01.htm |title=Intraosseous Infusion |accessdate=2007-08-23 |format= |work=|author=Vreede E, Bulatovic A, Rosseel P, Lassalle X}}</ref>

Revision as of 12:46, 11 August 2009

WikiDoc Resources for Intraosseous infusion

Articles

Most recent articles on Intraosseous infusion

Most cited articles on Intraosseous infusion

Review articles on Intraosseous infusion

Articles on Intraosseous infusion in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Intraosseous infusion

Images of Intraosseous infusion

Photos of Intraosseous infusion

Podcasts & MP3s on Intraosseous infusion

Videos on Intraosseous infusion

Evidence Based Medicine

Cochrane Collaboration on Intraosseous infusion

Bandolier on Intraosseous infusion

TRIP on Intraosseous infusion

Clinical Trials

Ongoing Trials on Intraosseous infusion at Clinical Trials.gov

Trial results on Intraosseous infusion

Clinical Trials on Intraosseous infusion at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Intraosseous infusion

NICE Guidance on Intraosseous infusion

NHS PRODIGY Guidance

FDA on Intraosseous infusion

CDC on Intraosseous infusion

Books

Books on Intraosseous infusion

News

Intraosseous infusion in the news

Be alerted to news on Intraosseous infusion

News trends on Intraosseous infusion

Commentary

Blogs on Intraosseous infusion

Definitions

Definitions of Intraosseous infusion

Patient Resources / Community

Patient resources on Intraosseous infusion

Discussion groups on Intraosseous infusion

Patient Handouts on Intraosseous infusion

Directions to Hospitals Treating Intraosseous infusion

Risk calculators and risk factors for Intraosseous infusion

Healthcare Provider Resources

Symptoms of Intraosseous infusion

Causes & Risk Factors for Intraosseous infusion

Diagnostic studies for Intraosseous infusion

Treatment of Intraosseous infusion

Continuing Medical Education (CME)

CME Programs on Intraosseous infusion

International

Intraosseous infusion en Espanol

Intraosseous infusion en Francais

Business

Intraosseous infusion in the Marketplace

Patents on Intraosseous infusion

Experimental / Informatics

List of terms related to Intraosseous infusion

Editor-In-Chief: James H. Paxton, MD MBA, Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI [1]

Please Join in Editing This Page and Apply to be an Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

Overview

Intraosseous (IO) infusion is the injection of fluids or medications directly into the bone marrow through a specialized intraosseous needle. Fluids and medications administered via IO infusion are picked up by the venous network draining the bone marrow for delivery to the central venous circulation.

This route of fluid and medication administration is an alternate one to the preferred IV route when the latter can't be established in a timely manner especially during cardiac arrest.[1]

Clinical practice guidelines

In 2005, the American Heart Association first included intraosseous infusion as an option for delivery of resuscitation drugs, "If IV access cannot be established, intraosseous (IO) delivery of resuscitation drugs will achieve adequate plasma concentrations".[2]

Effectiveness

This American Heart Association guideline cited two randomized controlled trials, one of 60 children[3] and one of electively cannulated hematology/oncology patients.[4] In addition, uncontrolled studies have been performed[5][6], one of which reported 72% to 87% rates of successful insertion.[5]

References

  1. Vreede E, Bulatovic A, Rosseel P, Lassalle X. "Intraosseous Infusion". Retrieved 2007-08-23.
  2. American Heart Association, (2005). "Part 4: Advanced Life Support". Circulation. 112 (22 (supplement): III-25–III-54. doi:10.1161/CIRCULATIONAHA.105.166472. PMID 16301345.
  3. Banerjee S, Singhi SC, Singh S, Singh M (1994). "The intraosseous route is a suitable alternative to intravenous route for fluid resuscitation in severely dehydrated children". Indian pediatrics. 31 (12): 1511–20. PMID 7875811.
  4. Brickman KR, Krupp K, Rega P, Alexander J, Guinness M (1992). "Typing and screening of blood from intraosseous access". Annals of emergency medicine. 21 (4): 414–7. doi:10.1016/S0196-0644(05)82661-7. PMID 1554180.
  5. 5.0 5.1 Frascone RJ, Jensen JP, Kaye K, Salzman JG (2007). "Consecutive field trials using two different intraosseous devices". Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors. 11 (2): 164–71. doi:10.1080/10903120701205851. PMID 17454802.
  6. Davidoff J, Fowler R, Gordon D; et al. (2005). "Clinical evaluation of a novel intraosseous device for adults: prospective, 250-patient, multi-center trial". JEMS : a journal of emergency medical services. 30 (10): suppl 20-23. PMID 16382512.

External links

Template:Emergency medicine

no:Intraosseøs

Template:SIB Template:WH Template:WikiDoc Sources