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USE OF INTRAOSSEOUS ACCESS IN PEDIATRIC EMERGENCY CARE IN GEORGIA
N Kikodze1, K Nemsadze1, G Togonidze1
1David Tvildiani Medical University, Tbilisi Georgia.
Georgian Medical News
|April 4, 2020
Summary
Intraosseous access (IO) is a valuable emergency procedure when IV access fails, especially in pediatrics. This study shows IO can be safely implemented in Georgian pediatric emergency care with proper training.
Area of Science:
- Emergency Medicine
- Pediatric Critical Care
- Vascular Access Techniques
Background:
- Intraosseous (IO) access is crucial in emergencies when peripheral venous access is impossible.
- Its application in pediatric emergency settings is well-established internationally.
- IO access has not been previously utilized in Georgia, particularly for pediatric emergencies.
Purpose of the Study:
- To assess the feasibility and safety of introducing Intraosseous (IO) access in pediatric emergency care in Georgia.
- To evaluate the outcomes of IO access compared to central venous access in pediatric patients.
- To determine the effectiveness of specialized training for medical personnel in performing IO procedures.
Main Methods:
- A quasi-experimental study design was employed.
- Data collected from 24 patients receiving IO access and 40 patients receiving central venous access.
- Medical personnel underwent pre- and post-training assessments to evaluate competency.
Main Results:
- The study monitored and reported various patient parameters for both access methods.
- Outcomes for patients receiving IO access were compared to those receiving central venous access.
- Analysis indicated that IO access can be safely performed in Georgian healthcare settings with appropriate training.
Conclusions:
- Intraosseous (IO) access is a safe and viable emergency procedure for pediatric patients in Georgia.
- Implementation requires standardized training protocols for healthcare professionals.
- The study recommends incorporating IO access into Georgian pediatric emergency management guidelines.

