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Related Experiment Videos

[The intra bone passage and nursing].

Rafael Durán Hoyos1, J R Ibarretxe Marcos, F J Gil Martín

  • 1Diplomado Universitario en Enfermería, Emergencias Osakidetza, Bizkaia.

Revista De Enfermeria (Barcelona, Spain)
|July 9, 2004
PubMed
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Intraosseous vascular access provides rapid, effective emergency access for critically ill patients, especially children, when traditional methods fail. This nursing technique is safe and minimally invasive, offering a vital alternative for emergency vascular access.

Area of Science:

  • Emergency Medicine
  • Pediatric Critical Care
  • Nursing Practice

Context:

  • Difficult or impossible peripheral/central venous access in critically ill patients.
  • Need for rapid and efficient vascular access in emergencies.
  • Limited options for vascular access in pediatric patients.

Purpose:

  • To confirm the utility of intraosseous (IO) vascular access as an emergency technique.
  • To highlight IO access as an additional tool for nursing in critical care.
  • To review indications and appropriate anatomical sites for IO access.

Summary:

  • Intraosseous vascular access is a valuable emergency technique when conventional venous access is challenging.
  • It provides rapid, easy, and efficient vascular system access, particularly beneficial for children under six.

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  • Indications include >90 seconds or 3 failed attempts at peripheral venous cannulation.
  • Appropriate sites in children include proximal/distal tibia and distal femur.
  • IO access allows administration of fluids and drugs comparable to peripheral venous access with minimal complications.

    • Impact:

    • Enhances nursing capabilities in managing critically ill patients requiring emergency vascular access.
    • Provides a life-saving alternative in critical situations, especially in pediatric emergencies.
    • Offers a safe and effective method for drug and fluid delivery when other routes are unavailable.