Sternal intraosseous infusion: Flow rates and utility

Tiffany, BR; Horwood, BT; Pollack, CV; Kurbat, J; Adams, Jeanette; Kharrazi, R; Eb, Diethrich

doi:10.1016/s0196-0644(99)80139-5

Cited by 5 publications

(3 citation statements)

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“…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%

“…Faster rates of infusion are generally possible at increased infusion pressures for all insertion sites. Under syringe pressure, flow rates of 250 mL/min have been reported (Bailey, 1946; Elston et al, 1947; Johnson et al, 1998; Tiffany et al, 1999). But this increase in flow rate comes at a price.…”

Section: Flow Ratesmentioning

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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Section: Intraosseous Devicesmentioning

confidence: 99%

Section: Intraosseous Devicesmentioning

confidence: 99%

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Intraosseous vascular access: A review

Paxton

2012

Trauma

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Flow Rates with Intraosseous Catheterization

Righi,

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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Sternal intraosseous infusion: Flow rates and utility

Cited by 5 publications

References 0 publications

Intraosseous vascular access: A review

Intraosseous vascular access: A review

Flow Rates with Intraosseous Catheterization

Intraossäre Infusion beim Erwachsenen

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