Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Intraosseous infusions in adults.

K V Iserson1

  • 1Department of Surgery, University of Arizona College of Medicine, Tucson 85724.

The Journal of Emergency Medicine
|November 1, 1989
PubMed
Summary

Intraosseous (IO) access in adults, particularly during cardiac arrest, offers a rapid alternative when intravenous (IV) lines fail. This study demonstrates the quick and effective utility of IO infusions in emergency settings.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Color blindness and health care personnel.

Archives of internal medicine·2001
Same author

Emergency physicians and physician-assisted suicide, Part I: a review of the physician-assisted suicide debate.

Annals of emergency medicine·2001
Same author

Emergency physicians and physician-assisted suicide, Part II: emergency care for patients who have attempted physician-assisted suicide.

Annals of emergency medicine·2001
Same author

Terrorism and the ethics of emergency medical care.

Annals of emergency medicine·2001
Same author

Jehovah's Witnesses and medical practice in Mexico: religious freedom, parens patriae, and the right to life.

Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees·2001
Same author

Wilderness mortalities: a 13-year experience.

Annals of emergency medicine·2001

Area of Science:

  • Emergency Medicine
  • Critical Care
  • Vascular Access

Background:

  • Intraosseous (IO) access in adults, especially via the distal tibia, is not a widely accepted technique.
  • Despite limited acceptance, successful uses of IO infusions in adults have been reported.
  • Establishing intravenous (IV) access can be challenging in emergency situations, particularly during cardiac arrest.

Purpose of the Study:

  • To demonstrate the utility and feasibility of intraosseous (IO) infusions in adult patients.
  • To evaluate IO access as a viable method for drug delivery in adult patients experiencing cardiac arrest.
  • To assess the speed and ease of IO needle placement and fluid administration in a critical care setting.

Main Methods:

  • Twenty-two adult patients (36-84 years) in cardiac arrest without adequate IV access were included.
  • An intraosseous (IO) needle was placed in the distal tibia, above the medial malleolus.
  • IO needles were connected to standard IV tubing with a pressure bag, delivering fluids at 300 mm Hg.

Main Results:

  • IO needle placement and flow establishment were achieved in under one minute for all patients.
  • Flow rates through the IO line ranged from 5 to 12 mL/min.
  • Pharmacologic effects were observed following the IO administration of medications including sodium bicarbonate, lidocaine, atropine, and vasopressors.

Conclusions:

  • Intraosseous (IO) access is a quick and easily obtainable method in adults during cardiac arrest.
  • The medial supramalleolar IO technique shows promise as a valuable drug administration modality for adults and older children in nontraumatic resuscitations.
  • IO access provides a reliable alternative when traditional IV access is not feasible in critical care scenarios.

Related Experiment Videos