The potential use of intraosseous (IO) infusions for adults was first examined 80 years ago. Until very recently, this procedure was most commonly considered a rescue technique for pediatric patients, and then only after all else had failed. However, the use of IO access is making a comeback! Once again, it is being recognized as a valuable adjunct to adult, as well as pediatric, fluid and medi...

proximal segement of left upper limb with varus deformity and limited movement of left elbow joint. Investigations revealed normal hemogram, liver function tests, kidney function tests, serum electrolytes and ultrasound skull. Ultrasound abdomen showed small right kidney with normal echotexture. X-ray of the baby showed micrognathia, hypoplastic left humerus, bilateral femoral hypoplasia, varia...

INTRODUCTION It is important to have a venous line in cardiopulmonary arrest (CPA) patients as an emergency treatment measure in prehospital settings, but establishment of a peripheral venous line is difficult in such patients. This study aimed to investigate the current status of intravenous infusion (IVI) in CPA patients by Emergency Life-Saving Technicians (ELSTs) in Japan. We also considere...

INTRODUCTION The First Access for Shock and Trauma (FAST 1) Sternal Intraosseous (IO) System is a vascular access device designed as an alternative to peripheral or central intravenous (IV) cannulation for the treatment of critically ill and injured adults. During the development of the device, key objectives included safety, speed of insertion, and ease of use with minimal training. This study...

The Consortium on Intraosseous Vascular Access in Healthcare Practice consisted of Lynn Phillips, Infusion Nurses Society and Consortium Chair; Lucinda Brown, Society of Pediatric Nurses; Teri Campbell, Air and Transport Nurses Association; Julie Miller, American Association of CriticalCare Nurses; Jean Proehl, Emergency Nurses Association; and Barbara Youngberg, Visiting Professor of Health La...

INTRODUCTION Intraosseous infusion is recommended if peripheral venous access fails for cardiopulmonary resuscitation or other medical emergencies. The aim of this study, using body donors, was to compare a semi-automatic (EZ-IO®) device at two insertion sites and a sternal intraosseous infusion device (FASTR™). METHODS Twenty-seven medical students being inexperienced first-time users were r...

BACKGROUND AND OBJECTIVES First introduced in 1922, the intraosseous access technique was extensively used in the 1940's and revised in the 1980's. Since this technique is recommended in actual cardiopulmonary resuscitation guidelines, the authors present an historical and clinical review of intraosseous access to the venous system. CONTENTS The MedLine (1950 to January 2008) database was sea...

In critically ill infants and children, intravascular (IV) access is sometimes very difficult. In such cases intraosseous (IO) infusion should be used as the method of choice. However, in practice, different problems are experienced with this procedure. To overcome the practical problems and to confirm the efficacy of IO infusion in reversing hypovolemic shock, an animal model was used by ...