Prehospital use of a sternal intraosseous infusion device

Horwood, BT; Adams, Jeanette; Tiffany, BR; Pollack, CV; Adams, Bruce D.; Scalzi, ra De; Sucher, Mark

doi:10.1016/s0196-0644(99)80336-9

Cited by 6 publications

(5 citation statements)

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“…The paramedics in the current study achieved a one-year 73% success rate for sternal IO placement after one training session. This percentage is well within the range of published success rates of 72 to 84% 5– 7 . It also has been shown that as providers become more experienced with the FAST-1, success rates improve 7 .…”

Section: Discussionsupporting

confidence: 88%

“…This is the first study to prospectively evaluate the prehospital use of the FAST-1 sternal IO as the first-line device to obtain vascular access in the critically ill or injured patient. Previous studies describing the prehospital use of the FAST-1 only have initiated FAST-1 deployment if one or more IV insertion attempts failed 5– 7 . The paramedics in the current study achieved a one-year 73% success rate for sternal IO placement after one training session.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies describing the prehospital use of the FAST-1 only have initiated FAST-1 deployment if one or more IV insertion attempts failed. [5][6][7] The paramedics in the current study achieved a one-year 73% success rate for sternal IO placement after one training session. This percentage is well within the range of published success rates of 72 to 84%.…”

Section: Discussionmentioning

confidence: 99%

“…This percentage is well within the range of published success rates of 72 to 84%. [5][6][7] It also has been shown that as providers become more experienced with the FAST-1, success rates improve. 7 The average time to obtain vascular access, 67 seconds, also was within previously reported times of 64 to 77 seconds.…”

Section: Discussionmentioning

confidence: 99%

“…7 The average time to obtain vascular access, 67 seconds, also was within previously reported times of 64 to 77 seconds. 5,7 Past experience with critically ill or injured patients illustrates the difficulty experienced by providers at all levels with peripheral access. Rossetti et al reviewed 66 pediatric emergency department arrests at a children's hospital; 8 24% of patients did not have IV access for ≥10 minutes, and 6% of patients never had a working IV established.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Evaluation of Success Rate and Access Time for an Adult Sternal Intraosseous Device Deployed in the Prehospital Setting

Byars

Tsuchitani

Erwin

et al. 2011

Prehosp. Disaster med.

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This is the first study to prospectively evaluate the prehospital use of the FAST-1 sternal IO as a first-line device to obtain vascular access in the critically ill or injured patient. The FAST-1 sternal IO device can be a valuable tool in the paramedic arsenal for the treatment of the critically ill or injured patient. The device may be of particular interest to specialty disaster teams that deploy in austere environments.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of Success Rate and Access Time for an Adult Sternal Intraosseous Device Deployed in the Prehospital Setting

Byars

Tsuchitani

Erwin

et al. 2011

Prehosp. Disaster med.

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Indications and Contraindications

Lenning,

Paxton

2024

Intraosseous Vascular Access

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Intraossäre Infusion beim Erwachsenen

Leidel

Kanz²,

Mutschler³

et al. 2008

Chirurg

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Intraosseous (IO) infusion methods have been common for emergency treatment in infants and children for years. The role of IO access in adults is however much less clear, but its importance in this patient group is increasing, and different devices are available today. Each device has strengths and weaknesses, but all achieve rapid vascular access even in challenging situations. The potential of IO access regarding both therapeutic and diagnostic options has been shown in several operational studies in and out of hospital. Insertion times require between 1 and 2 min in most cases, while insertion and handling of the IO access devices seem to be easy and reliable. The flow rates of IO access devices for adults are lower than those of large-bore peripheral intravenous catheters, but fluid resuscitation is possible in most cases at least with pressure bag infusion systems. Most drugs administered intravenously can be given intraosseously in equivalent dosages and with the same effects. Nevertheless the limitations and risks of IO access routes need to be considered for each application. Rapid IO access is now possible in all age groups, and the 2005 AHA Guidelines favor it over drug administration via the endotracheal tube.

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Prehospital use of a sternal intraosseous infusion device

Cited by 6 publications

References 0 publications

Evaluation of Success Rate and Access Time for an Adult Sternal Intraosseous Device Deployed in the Prehospital Setting

Evaluation of Success Rate and Access Time for an Adult Sternal Intraosseous Device Deployed in the Prehospital Setting

Indications and Contraindications

Intraossäre Infusion beim Erwachsenen

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