A N Ew S Ystem for S Ternal I Ntraosseous I Nfusion in a Dults

Macnab, Andrew; Christenson, Jim; Findlay, Judy; Horwood, Bruce; Johnson, David L.; Jones, Lanny; Phillips, Kelly‐Anne; Pollack, Charles V.; Robinson, David J.; Rumball, C. A.; Stair, Thomas O.; Tiffany, Brian; Whelan, Max

doi:10.1080/10903120090941461

Cited by 78 publications

(10 citation statements)

References 6 publications

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“…in paediatric resuscitation) , secondly, if there is a need to use higher pressures to drive flow (e.g. with intra‐osseous devices) and thirdly, if it is necessary to introduce a small volume rapidly (e.g. to assess left ventricular volume responsiveness) .…”

Section: Introductionmentioning

confidence: 99%

The properties of an improvised piston pump for the rapid delivery of intravenous fluids

et al. 2014

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SummaryTo maximise the effect of a small fluid load, it is occasionally desirable to bolus manually with multiple depressions of a large-capacity syringe. This is usually achieved by placing the syringe on the side port of a three-way tap. We modified this technique by placing two-one-way valves in line with the three-way tap, effectively creating a piston pump, the infusion rates via which we compared with those achieved by an inflatable pressure-infuser in a simulated resuscitation. Fluid flow was faster using the piston pump than with the pressure-infuser (mean (SD) time to infuse 2000 ml saline 0.9% via a 16-G cannula 352 (10) s vs 495 (19) s, respectively, p < 0.0001). The piston pump appears to have potential for both tight control of fluid delivery and major high-volume resuscitation. The lightweight nature of the pump and its lack of reliance on gravity may also make it suitable for the pre-hospital setting.

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Section: Introductionmentioning

confidence: 99%

The properties of an improvised piston pump for the rapid delivery of intravenous fluids

et al. 2014

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“…The company has also released a similar device without the spring-loaded mechanism, called the FASTx™. According to the manufacturer, infusion rates through the FAST1® are 15–80 mL/min by gravity, approximately 125 mL/min by pressure bag at 300 mmHg, and 150–250 mL/min by syringe (Macnab et al, 2000; Pyng Medical Corporation, 2011). The device in packaging weighs approximately 162 g (Calkins et al, 2000).…”

Section: Intraosseous Devicesmentioning

confidence: 99%

“…The FAST1® has a first-attempt success rate of 72–74% (Macnab et al, 2000; Frascone et al, 2007), with an overall success rate of 72–100% (Tiffany et al, 1999; Calkins et al, 2000; Macnab et al, 2000; Frascone et al, 2007; Pointer et al, 2008; Hartholt et al, 2010). Mean time to insertion is about 1 min (Tiffany et al, 1999; Macnab et al, 2000; Hartholt et al, 2010). Overall, it measures up well against the other two mechanical devices with regard to successful deployment.…”

Section: Intraosseous Devicesmentioning

confidence: 99%

“…However, device failures have been more commonly reported with the FAST1® than with either of the other two mechanical devices. Failure to secure placement has been reported with the ‘very obese’ (Macnab et al, 2000; Frascone et al, 2007), and the device has also been criticized for being difficult to remove (Tiffany et al, 1999). In fact, three cases have been reported in which the metal tip was retained in the sternum after removal of the infusion tubing (Frascone et al, 2007; Fenton et al, 2009; Helm et al, 2011), including two that required surgical removal (Fenton et al, 2009; Helm et al, 2011).…”

Section: Intraosseous Devicesmentioning

confidence: 99%

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Intraosseous vascular access: A review

Paxton

2012

Trauma

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Intraosseous cannulation is an increasingly common means of achieving vascular access for the administration of fluids and medications during the emergent resuscitation of both paediatric and adult patients. Improved tools and techniques for intraosseous vascular access have recently been developed, enabling the healthcare provider to choose from a wide range of devices and insertion sites. Despite its increasing popularity within the adult population, and decades of use in the paediatric population, questions remain regarding the safety and efficacy of intraosseous infusion. Although various potential complications of intraosseous cannulation have been theorized, few serious complications have been reported. This article aims to provide a review of the current literature on intraosseous vascular access, including discussion on the various intraosseous devices currently available in the market, the advantages and disadvantages of intraosseous access compared to conventional vascular access methods, complications of intraosseous cannulation and current recommendations on the use of this approach.

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“…Wenn bei der CPR ein intravenöser Zugang nicht gelegt werden kann, kann die intraössäre Injektion von Medikamenten angemessene Plasmakonzentrationen erreichen. Mehrere Studien weisen darauf hin, dass ein intraössärer Zugang für die Infusion von Volumen, die Injektion von Medikamenten und Blutabnahmen sicher und effektiv ist [ 78 , 249 , 250 , 251 , 252 , 253 , 254 , 255 ]. Üblicherweise wird der intraossäre Zugang vorwiegend bei Kindern eingesetzt, ist aber auch bei Erwachsenen ebenso wirksam.…”

Section: Alternative Wege Zur Medikamentengabeunclassified