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[Prolonged intraosseous blockades in first aid practice]

A N Oborin

    Vestnik Khirurgii Imeni I. I. Grekova
    |September 1, 1980
    PubMed
    Summary

    Prolonged intraosseous blockade using novocaine and protein preparations effectively treated traumatic shock in 138 emergency patients. This method showed no infectious complications, offering a safe and efficient therapeutic option.

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    Area of Science:

    • Emergency medicine
    • Traumatology
    • Anesthesiology

    Background:

    • Traumatic injuries to extremities often lead to severe pain and shock.
    • Effective pain management and shock treatment are critical in emergency medical services.
    • Prolonged blockade techniques are explored for managing complex trauma cases.

    Observation:

    • A study involved 217 prolonged blockades in 138 patients with extremity injuries.
    • The anesthetic mixture comprised 5% novocaine and a large molecule protein preparation (aminokrovin, aminopeptide, 8% gelatinol).
    • Intraosseous blockade was administered under emergency medical service conditions.

    Findings:

    • Prolonged intraosseous blockade demonstrated high effectiveness in the complex treatment of traumatic shock.
    • The procedure was successful in managing pain and physiological distress associated with severe injuries.
    • No infectious complications were reported following the intraosseous blockade procedures.

    Implications:

    • Intraosseous blockade is a valuable and safe technique for managing traumatic shock in emergency settings.
    • This method can be integrated into treatment protocols for patients with severe extremity trauma.
    • Further research could explore long-term outcomes and broader applications of this anesthetic approach.

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