An observational, prospective study to determine the ease of vascular access in adults using a novel intraosseous access device.
نویسندگان
چکیده
INTRODUCTION Intraosseous access is an alternative to conventional intravenous access when access is difficult or impossible in the adult population. The EZ-IO is a novel intraosseous access device designed for use in adults, utilising a powered driver. MATERIALS AND METHODS A prospective, observational study involving a convenience sample of 25 medical students, physicians and nursing staff recruited as study subjects to secure intraosseous access using the EZIO powered drill device, on a bone model. RESULTS Twenty-three (92%) of the 25 study subjects required only 1 attempt at placing the EZ-IO. There were 24 (96%) successful placements of the EZ-IO. The average time taken to place the EZ-IO was 13.9 seconds. Twenty (87%) of 23 participants reported easier placement with the EZ-IO than an intravenous cannula. The average time taken for the physicians, nursing staff and medical students was 3.71 (+/- SD 1.70) seconds, 7.88 (+/- SD 4.02) seconds and 33.7 (24.5), respectively. Overall mean difficulty of insertion score (VAS) was 3.1 (+/- SD 1.9). CONCLUSION The intraosseous access device evaluated in this study appears to be easy to use with high success rates of insertion with inexperienced participants. There is potential for use in the Emergency Department.
منابع مشابه
Efficacy and safety of the EZ-IO™ intraosseous device: Out-of-hospital implementation of a management algorithm for difficult vascular access.
OBJECTIVE Intraosseous access is a rapid and safe alternative when peripheral vascular access is difficult. Our aim was to assess the safety and efficacy of a semi-automatic intraosseous infusion device (EZ-IO) when using a management algorithm for difficult vascular access in an out-of-hospital setting. METHODS This was a one-year prospective, observational study by mobile intensive care uni...
متن کاملIntraosseous vascular access in adults using the EZ-IO in an emergency department
BACKGROUND Intraosseous (IO) access is an alternative to conventional intravenous access. AIMS We evaluate the use of the EZ-IO as an alternative vascular access for patients in the emergency department. METHODS A non-randomized, prospective, observational study was performed in adults using the EZ-IO powered drill device. RESULTS Twenty-four patients were recruited. There were 35 intraos...
متن کاملبررسی میزان کارایی و عوارض گرافت صناعی عروقی پلی تترا فلورو اتیلن در بیماران همودیالیزی
Background: Dialysis access procedures and complications are important causes of morbidity and hospitalization for chronic hemodialysis patients. Ideally, any patient undergoing hemodialysis should receive an autogenous fistula that can be accessed throughout the patient's life. In patients with primarily unsuitable or secondarily surgically-exhausted veins, a prosthetic graft can be performed....
متن کاملInduction of general anaesthesia with intraosseous injection of thiopental in rabbits
The technique of intraosseous (IO) infusion has been reemerged as an alternative route of intravascular access for the delivery of fluids and some medications. Complications of IO infusion occur rarely and include fractures and osteomyelitis after long-term use of IO access. The purpose of this study was to compare the efficiency of induction of anaesthesia by a standard intravenous route and a...
متن کاملComparison of intraosseous versus central venous vascular access in adults under resuscitation in the emergency department with inaccessible peripheral veins.
INTRODUCTION Current European Resuscitation Council (ERC) guidelines recommend intraosseous (IO) vascular access, if intravenous (IV) access is not readily available. Because central venous catheterisation (CVC) is an established alternative for in-hospital resuscitation, we compared IO access versus landmark-based CVC in adults with difficult peripheral veins. METHODS In this prospective obs...
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ورودعنوان ژورنال:
- Annals of the Academy of Medicine, Singapore
دوره 38 2 شماره
صفحات -
تاریخ انتشار 2009