ABSTRACT
Intraosseous infusion is an old knowledge, abandoned in the 1950s in favor of the peripheral vein, and it was essentially described in pediatrics and military medicine. Since 2005, this way is experiencing a resurgence of interest in emergency medicine particularly in adults after the failure's installation of a peripheral vein in order not to waste the time of care and administration of treatment. New devices that allow intraosseous infusion are currently used in humans. We propose to review the different kind of catheters used, to know the main technical characteristics, indications, contraindications and potential complications. We propose a comparison with the peripheral vein and a comparison between the different catheters.
Subject(s)
Infusions, Intraosseous , Adult , Bone and Bones/blood supply , Catheters/economics , Contraindications , Emergencies , Equipment Design , Fractures, Bone , Humans , Hypertonic Solutions , Infusions, Intraosseous/adverse effects , Infusions, Intraosseous/economics , Infusions, Intraosseous/instrumentation , Infusions, Intraosseous/methods , Infusions, Intraosseous/trends , Needles/economics , Organ Specificity , Osteitis , Surgical Instruments/economicsSubject(s)
Foot Dermatoses/chemically induced , Infusions, Intraosseous/adverse effects , Norepinephrine/adverse effects , Aged , Catheterization, Central Venous , Fatal Outcome , Female , Humans , Models, Biological , Multiple Organ Failure/etiology , Necrosis , Norepinephrine/administration & dosage , Norepinephrine/pharmacokinetics , Norepinephrine/therapeutic use , Pneumonia/complications , Respiratory Insufficiency/drug therapy , Respiratory Insufficiency/etiology , Shock, Septic/complications , Shock, Septic/drug therapy , Shock, Septic/therapy , Skin/pathology , TibiaSubject(s)
Fluid Therapy/methods , Hemorrhage/etiology , Infusions, Intraosseous/adverse effects , Sternum/injuries , Wounds, Penetrating/etiology , Afghan Campaign 2001- , Arm Injuries/surgery , Blood Transfusion , Cardiac Complexes, Premature/etiology , Catheterization , Debridement , Drainage , Explosions , Female , Fluid Therapy/instrumentation , Humans , Hydroxyethyl Starch Derivatives , Hypnotics and Sedatives/therapeutic use , Infusions, Intraosseous/instrumentation , Infusions, Intraosseous/methods , Intubation, Intratracheal , Leg Injuries/therapy , Mediastinum , Middle Aged , Multiple Trauma/therapy , Norepinephrine/administration & dosage , Norepinephrine/therapeutic use , Wounds, Penetrating/therapySubject(s)
Aortic Dissection/complications , Multiple Organ Failure/etiology , Abscess/etiology , Aged, 80 and over , Biliary Fistula/etiology , Celiac Artery , Cholecystitis/etiology , Disseminated Intravascular Coagulation/etiology , Gallbladder/pathology , Gangrene , Humans , Ischemia/etiology , Liver Abscess/etiology , Male , Pancreatitis/etiology , Shock, Septic/etiology , Splenic Diseases/etiologySubject(s)
Contrast Media/administration & dosage , Radiography, Abdominal/methods , Radiography, Thoracic/methods , Tomography, X-Ray Computed/methods , Catheterization , Humans , Humerus , Infusions, Intraosseous , Male , Middle Aged , Sepsis/diagnostic imaging , Sepsis/therapy , Sternum , Tibia , Triiodobenzoic Acids/administration & dosageSubject(s)
Angioedema/drug therapy , Angiotensin-Converting Enzyme Inhibitors/adverse effects , Blood Coagulation Factors/therapeutic use , Bradykinin/drug effects , Dipeptidyl-Peptidase IV Inhibitors/adverse effects , Laryngeal Diseases/drug therapy , Aged , Angioedema/chemically induced , Diabetes Mellitus, Type 2/drug therapy , Humans , Hypertension/drug therapy , Laryngeal Diseases/chemically induced , Male , Perindopril/adverse effects , Pyrazines/adverse effects , Sitagliptin Phosphate , Treatment Outcome , Triazoles/adverse effectsSubject(s)
Anesthetics, Inhalation/therapeutic use , Helium/therapeutic use , Methyl Ethers/therapeutic use , Oxygen/therapeutic use , Respiration, Artificial , Status Asthmaticus/therapy , Adult , Anesthesiology/instrumentation , Humans , Influenza A Virus, H1N1 Subtype , Influenza, Human/complications , Influenza, Human/therapy , Male , Sevoflurane , Status Asthmaticus/drug therapy , Ventilators, MechanicalSubject(s)
Chylothorax/etiology , Thoracic Injuries/complications , Wounds, Nonpenetrating/complications , Chylothorax/surgery , Drainage , Dyspnea/etiology , Hemorrhage/etiology , Humans , Male , Middle Aged , Obesity, Morbid/complications , Octreotide/therapeutic use , Oxygen Inhalation Therapy , Pain/etiology , Paresis/etiology , Respiratory Distress Syndrome/etiology , Spinal Fractures/complications , Thoracic Injuries/surgery , Wounds, Nonpenetrating/surgerySubject(s)
Anesthetics, Local/adverse effects , Anti-Arrhythmia Agents/adverse effects , Flecainide/adverse effects , Lidocaine/adverse effects , Seizures/chemically induced , Adrenergic alpha-Agonists/administration & dosage , Aged , Anesthetics, Local/blood , Anti-Arrhythmia Agents/therapeutic use , Atrial Fibrillation/complications , Atrial Fibrillation/drug therapy , Brachial Plexus , Drug Interactions , Epinephrine/administration & dosage , Female , Flecainide/therapeutic use , Fractures, Bone/complications , Fractures, Bone/surgery , Humans , Lidocaine/blood , Radial Nerve , Radius/surgery , Seizures/bloodSubject(s)
Legionnaires' Disease/diagnosis , Myocarditis/diagnosis , Arrhythmias, Cardiac/drug therapy , Arrhythmias, Cardiac/etiology , Biopsy , Echocardiography , Electrocardiography , Humans , Legionnaires' Disease/complications , Magnetic Resonance Imaging , Male , Middle Aged , Myocarditis/etiology , Platelet Aggregation Inhibitors/therapeutic use , Shock, Septic/complicationsSubject(s)
Gastroplasty/adverse effects , Hypnotics and Sedatives/adverse effects , Meprobamate/adverse effects , Shock/chemically induced , Female , Gastric Lavage , Glasgow Coma Scale , Hemodynamics/physiology , Humans , Middle Aged , Shock/diagnostic imaging , Shock/physiopathology , UltrasonographyABSTRACT
We report the breaking of an epidural catheter, which occurred during the procedure of insertion. If such a breaking is a rare event, it is due in this case to an aberrant trajectory of the catheter. By studying the literature, we also analyzed the mechanisms which can lead to the breaking of an epidural catheter. We recommend a precise radiological examination to localise the trapped catheter among the nervous structures.
Subject(s)
Analgesia, Epidural/instrumentation , Catheterization/adverse effects , Foreign Bodies/etiology , Postoperative Complications/etiology , Anesthesia, Epidural , Arthrodesis , Equipment Failure , Female , Foreign Bodies/surgery , Hallux Valgus/surgery , Humans , Kyphosis/complications , Laminectomy , Lumbar Vertebrae , Metatarsophalangeal Joint/surgery , Middle Aged , Pain, Postoperative/drug therapy , Postoperative Complications/surgery , Scoliosis/complications , StentsABSTRACT
The authors report the case of an African 34-year-old patient who was admitted to the intensive care unit for bacterial meningitis due to Streptococcus pneumoniae. A meningeal co-infection due to Cryptococcal neoformans was found the 3rd day in an HIV infection context. Cryptococcus neoformans detection in cerebrospinal fluid, using the India-ink stain, has a low sensibility which imposes the search of cryptococcal antigen and the culture of cerebrospinal fluid. These last two exams have a sensibility of at least 90%.
Subject(s)
HIV Infections/complications , Meningitis, Cryptococcal/virology , Meningitis, Pneumococcal/virology , Adult , Cerebrospinal Fluid/microbiology , Humans , MaleSubject(s)
Acromioclavicular Joint/surgery , Anesthesia, Local/methods , Anesthesiology/ethics , Brachial Plexus Neuropathies/diagnosis , Joint Dislocations/surgery , Muscle Weakness/diagnosis , Postoperative Care/ethics , Postoperative Complications/diagnosis , Somatoform Disorders/diagnosis , Accidental Falls , Acromioclavicular Joint/injuries , Adult , Amines/therapeutic use , Analgesia/adverse effects , Analgesia/instrumentation , Analgesia/methods , Anesthesia, Local/adverse effects , Anesthesia, Local/instrumentation , Anesthesiology/legislation & jurisprudence , Anesthesiology/methods , Benzodiazepines/therapeutic use , Catheterization/adverse effects , Cyclohexanecarboxylic Acids/therapeutic use , Diagnosis, Differential , Gabapentin , Humans , Joint Dislocations/etiology , Male , Muscle Weakness/etiology , Off-Road Motor Vehicles , Pain, Postoperative/prevention & control , Postoperative Care/methods , Postoperative Complications/etiology , gamma-Aminobutyric Acid/therapeutic useABSTRACT
The concept of premixed 50% nitrous oxide and oxygen dated back to 1961 in England, where it is commercialised under the name Entonox. In France, after a so marginal use, premixed 50% nitrous oxide and oxygen now knows such a revival since we first consider the pain provoked by the cure. To use correctly premixed 50% nitrous oxide and oxygen, we need to know the main properties of the nitrous oxide. The four commercial versions, now on the market, are presented (Kalinox, Medimix, Antasol, Oxynox. Except a few contraindications, these indications are large, as well at hospital as outside. In less than 10% of the cases, side effects are possible. Conditions of administration are given in details. The limits of the technic and the particular precautions of use are precised.
