Intraosseous infusion in pediatric patients.
Publication/Presentation Date
1-1-1994
Abstract
In traumatically injured or medically unstable pediatric patients requiring resuscitation, gaining intravenous access often is frustrating for the physician and agonizing for the patient. Even when cardiopulmonary resuscitation is performed by trained professionals, cardiac arrests in children in the prehospital setting have a mortality of 79% to 100%. Immediate vascular access such as that obtained by intraosseous infusion improves survival. The intraosseous infusion technique uses the medullary cavity in the tibia as a "noncollapsible vein" for parenteral infusion. It is indicated in a child in shock or cardiac arrest when two attempts to access peripheral vasculature have failed or when more than 2 minutes have elapsed in the attempt to gain access. Epinephrine, bicarbonate, calcium, lidocaine, and volume expanders can be infused via the intraosseous route. Complications rarely occur. The technique described here is gaining acceptance in both prehospital and emergency department settings.
Volume
94
Issue
1
First Page
63
Last Page
66
ISSN
0098-6151
Published In/Presented At
Neal, C. J., & McKinley, D. F. (1994). Intraosseous infusion in pediatric patients. The Journal of the American Osteopathic Association, 94(1), 63–66.
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
8169160
Department(s)
Department of Pediatrics
Document Type
Article