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Current advances in intraosseous infusion - a systematic review
Giora Weiser1, Yoav Hoffmann, Roger Galbraith
1Emergency Department, Meyer Children's Hospital, Rambam Health Care Campus, Haifa, Israel.
Resuscitation
|August 30, 2011
Summary
Semi-automatic intraosseous (IO) infusion devices, particularly battery-powered drivers, show superiority over manual needles for IO access during resuscitation. These devices improve IO placement success rates and ease of use in emergency settings.
Area of Science:
- Emergency Medicine
- Resuscitation Science
- Medical Device Technology
Background:
- Intraosseous (IO) infusion provides rapid vascular access during resuscitation.
- Advancements in IO infusion devices aim to improve the efficiency and success of this critical procedure.
- Semi-automatic devices offer potential advantages over traditional manual techniques.
Purpose of the Study:
- To review the current literature on semi-automatic intraosseous infusion devices.
- To compare the effectiveness of semi-automatic IO devices versus manual needles in resuscitation.
- To evaluate IO placement success rate, time, ease-of-use, and user preference.
Main Methods:
- Systematic review of PubMed and Embase databases (1997-2010) and Google Scholar.
- Search terms included "intraosseous" combined with "needle," "device," "technique," "infusion," "injection," or "access."
- Included studies compared semi-automatic devices with manual needles; excluded reviews, editorials, surveys, and case reports.
Main Results:
- Ten studies met inclusion criteria, with varying levels of evidence (LOE 1-5).
- Most studies had a low level of evidence, with few direct comparisons between different IO devices.
- Battery-powered IO drivers demonstrated superiority over manual needles and other semi-automatic devices.
Conclusions:
- Limited high-quality evidence exists for comparing semi-automatic IO infusion devices.
- Existing studies suggest battery-powered IO drivers are superior to manual needles.
- Further research with higher levels of evidence is needed to fully elucidate device performance.
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