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Intraosseous lines in preterm and full term neonates.
H Ellemunter1, B Simma, R Trawöger
1Department of Paediatrics, Innsbruck University Hospital, Austria.
Summary
Intraosseous (IO) lines provide rapid, safe, and effective vascular access for neonatal resuscitation when traditional IV access fails. This method proved successful in all newborns, with no reported long-term complications.
Area of Science:
- Neonatal Medicine
- Emergency Medicine
- Pediatric Critical Care
Background:
- Establishing vascular access in neonates during resuscitation can be challenging.
- Failure of conventional intravenous (IV) access necessitates alternative methods.
Purpose of the Study:
- To assess the efficacy and safety of intraosseous (IO) lines for immediate vascular access in neonatal resuscitation.
- To evaluate IO line use in both preterm and full-term infants requiring critical care.
Main Methods:
- Thirty intraosseous lines were successfully placed in 27 neonates.
- IO access was utilized when conventional venous access attempts were unsuccessful.
Main Results:
- All neonates in the study survived the resuscitation process.
- No adverse long-term side effects were observed in the neonates following IO line placement.
Conclusions:
- Intraosseous infusion is a rapid, safe, and effective resuscitation technique for compromised neonates.
- IO access is a viable alternative when IV access is difficult in critically ill newborns.