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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Emergency department utilization and success rates for intraosseous infusion in pediatric resuscitations

C Nijssen-Jordan

    CJEM
    |July 20, 2007
    PubMed

    Insights

    Intraosseous (IO) vascular access demonstrated high success rates (86%) in pediatric emergency departments, despite infrequent use. This critical resuscitation technique proved effective in young children, with few complications.

    Area of Science:

    • Emergency Medicine
    • Pediatric Critical Care
    • Vascular Access Techniques

    Background:

    • Intraosseous (IO) access is a vital alternative for vascular access during pediatric emergencies when intravenous (IV) access is difficult.
    • Understanding the utilization and effectiveness of IO access in real-world emergency department (ED) settings is crucial for optimizing patient care.

    Purpose of the Study:

    • To evaluate the frequency of intraosseous vascular access use in a pediatric emergency department.
    • To determine the success rates and associated outcomes of intraosseous vascular access in pediatric patients.

    Main Methods:

    • A retrospective chart review was conducted in a tertiary pediatric emergency department.
    • Data were collected for ED resuscitations between 1989 and 1995, specifically identifying cases involving IO access.
    • Demographics, diagnoses, number of attempts, success rates, and complications were recorded.

    Main Results:

    • Intraosseous vascular access was successful in 36 out of 42 patients (86% success rate).
    • The average number of IO attempts per child was 1.6, with a median time to successful placement of 8 minutes.
    • Complications were rare, with only two fractures reported in a single neonate.

    Conclusions:

    • Intraosseous vascular access is a highly successful method for emergency vascular access in pediatric patients.
    • Despite its efficacy, the use of IO access in this study population was infrequent.
    • High success rates and low complication rates support the continued use and consideration of IO access in pediatric emergencies.
    Abstract

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