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Bone marrow infusion in adults

M Waisman1, D Waisman

  • 1Department of Orthopedic Surgery, Carmel Medical Center, Haifa, Israel.

The Journal of Trauma
|February 1, 1997
PubMed
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Intraosseous infusions using a novel automatic device are feasible and highly successful for adult vascular access in both elective and emergency settings. This method offers a reliable alternative when traditional intravenous access fails.

Area of Science:

  • Emergency Medicine
  • Trauma Surgery
  • Vascular Access Techniques

Background:

  • Establishing vascular access is critical in emergency and surgical settings.
  • Traditional intravenous cannulation can be challenging or impossible in certain patient populations.
  • Intraosseous (IO) infusion offers a potential alternative route for rapid fluid and medication delivery.

Purpose of the Study:

  • To evaluate the feasibility and success rate of intraosseous infusions in adult patients.
  • To assess the efficacy of a novel automatic device (bone injection gun) for IO access.
  • To compare outcomes in elective (orthopedic surgery) and emergency vascular access scenarios.

Main Methods:

  • A prospective, nonrandomized trial involving 50 adult patients.

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  • Group 1: Patients undergoing orthopedic surgery requiring regional anesthesia.
  • Group 2: Patients needing emergency vascular access when IV cannulation failed.

    • Main Results:

    • 100% success rate for adequate intraosseous needle insertion in all 50 adult patients.
    • The novel automatic device demonstrated universal success.
    • Common insertion sites included tibial tuberosity, distal radius, and malleoli; no complications were reported.

    Conclusions:

    • Intraosseous infusion is a feasible and important route for adult vascular access, particularly in emergencies.
    • The use of an automatic, high-speed needle insertion device significantly enhances the success rate of IO vascular access in adults.
    • This technique provides a reliable alternative for rapid fluid and medication administration when IV access is not achievable.