Experience of Using the Intraosseous Access to Critical Pediatric Patients in a Tertiary Emergency Department
Journal of the Korean Society of Emergency Medicine
;
: 690-695, 2014.
Article
in Korean
| WPRIM
| ID: wpr-223360
ABSTRACT
PURPOSE:
Intraosseous infusion is a safe and effective vascular access route in critically ill patients, especially in the pediatric population. Use of intraosseous access has shown a recent increase in Korea, but this procedure is not well reported. The aim of this study is to evaluate the clinical characteristics and outcomes of intraosseous infusion.METHODS:
This study was a retrospective chart review of pediatric patients who received intraosseous infusion at a tertiary emergency department between April 2010 and March 2014. Their clinical characteristics and outcomes were evaluated.RESULTS:
A total of 30 patients participated; 25 patients were cardiac arrest, three were status epilepticus, one was septic shock, and one was severe hypovolemic shock. Final procedure success rate was 90% and average 1.63 attempts were performed per child. Finally 12 patients survived over 24 hours. In particular, all patients of non-cardiac arrest survived and were discharged successfully from our hospital. Median maintenance time of the intraosseous device among survived patients was 112 minutes. No complications were reported.CONCLUSION:
Intraosseous infusion in the emergency department was a very effective procedure for cardiac arrested patients and critically ill patients in whom access to the vascular route was difficult.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pediatrics
/
Shock
/
Shock, Septic
/
Status Epilepticus
/
Retrospective Studies
/
Critical Illness
/
Infusions, Intraosseous
/
Emergency Service, Hospital
/
Heart Arrest
/
Korea
Type of study:
Observational study
Limits:
Child
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2014
Type:
Article
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