A theoretical alternative intraosseous infusion site in severely hypovolemic children

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A theoretical alternative intraosseous infusion site in severely hypovolemic children

BACKGROUND Studies have shown that the venous system tends to collapse during hypovolemic shock. The use of the bone marrow space for infusions is an effective alternative, with the tibial insertion site being the norm. OBJECTIVES This study was conducted to determine a quick intraosseous infusion method that could be an alternative to the tibial route in neonates during emergency situations....

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The calcaneum as a site for intraosseous infusion.

Intraosseous infusion has been recommended as a rapid and effective form of circulatory access in the collapsed child. Recognised sites for insertion include the tibia, femur, iliac crest, sternum, and clavicle. The case of a 3 year old collapsed child is described who was successfully resuscitated with the use of an intraosseous needle placed in the calcaneum; the method of needle insertion is...

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Preferred anatomic site for intraosseous infusion in Danish emergency departments

Background Intraosseous infusion (IOI) is recommended when intravenous access cannot be readily established in resuscitation. There has been debate as to whether which anatomic site should be preferred for IOI. Although success and flow rates in e.g. proximal tibia compared with proximal humerus are not significant different some stress that the tibia should be first choice for IOI because of e...

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The occasional intraosseous infusion.

Long bones in infants are filled with marrow that contains vascularized sinusoids. These sinusoids eventually drain into the systemic venous circulation. The marrow cavity acts as a rigid vein and so will not collapse, even in the face of severe volume loss. No matter how dehydrated or volume-depleted the child is, there is always a rigid tube that can be punctured to replace the required fluid...

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Infant intraosseous infusion.

Neonatal health care providers are fortunate that the umbilical cord generally provides easy intravenous (IV) access for newborn patients. Outside of the immediate newborn period, however, it may be impossible to obtain peripheral or umbilical IV access in critically ill newborns. Intraosseous (IO) infusion is not widely used in the neonatal population, but is a viable option when IV access can...

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ژورنال

عنوان ژورنال: African Journal of Primary Health Care & Family Medicine

سال: 2015

ISSN: 2071-2936,2071-2928

DOI: 10.4102/phcfm.v7i1.835