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Intraosseous Cannulation

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Intraosseous Cannulation of a Calvarial Diploic Vein for Embolization of a Symptomatic Dural Arteriovenous Fistula: A Technical Case Report.

Andrew C White, Zach A Folzenlogen, Tessa A Harland, David E Case, Christopher D Roark, David A Kumpe, Joshua Seinfeld,

BACKGROUND AND IMPORTANCE:Dural arteriovenous fistulas (DAVFs) may present unique challenges for treatment depending on the anatomy and pattern of venous drainage. If endovascular techniques are to be employed, the DAVF must be amenable to transvenous or transarterial therapy. When access of peripheral vasculature does not provide a straightforward path, less ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2020, 18(4):E132-E137]

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The history of bone marrow in orthopaedic surgery (part I trauma): trepanning, bone marrow injection in damage control resuscitation, and bone marrow aspiration to heal fractures.

Philippe Hernigou,

PURPOSE:One of the oldest procedures performed by man is trepanning of the bone and yet it was only in the last 40 years that bone marrow aspiration has been used to treat nonunion disorders. MATERIAL AND METHODS:These advances were possible due to improvements in instruments and in techniques to make holes ... Read more >>

Int Orthop (International orthopaedics)
[2020, 44(4):795-808]

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Propionibacterium acnes Osteomyelitis after Intraosseous Cannulation in a Child.

Keegan A Cole, Samik Banerjee, John A Dipreta,

Propionibacterium acnes osteomyelitis secondary to intraosseous (IO) cannulation is not well documented in literature. We report here an extremely rare incident of P. acnes tibial osteomyelitis at the IO access site, in a 4-year-old child, who presented 3 months after an episode of fluid resuscitation for streptococcal toxic shock syndrome ... Read more >>

Case Rep Orthop (Case reports in orthopedics)
[2019, 2019:7170154]

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A Video-Based, Case-Control Study of Factors Associated With Intraosseous Catheterization During Pediatric Resuscitation.

Sang Hoon Lee, Mary Frey, Benjamin T Kerrey, Yin Zhang, Terri Byczkowski, Gary L Geis,

STUDY OBJECTIVE:Factors associated with intraosseous (IO) catheterization are not well described. Our objective is to identify factors associated with the attempt and timing of IO catheterization in a pediatric emergency department (ED) resuscitation setting. METHODS:We completed a video-based, case-control study (1:3 ratio) of children undergoing IO catheterization in the resuscitation ... Read more >>

Ann Emerg Med (Annals of emergency medicine)
[2019, :]

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Vascular access in children.

Vibhavari M Naik, S Shyam Prasad Mantha, Basanth Kumar Rayani,

Securing stable vascular access is an important clinical skill for the anaesthesiologist. Sick children, complex surgeries, chronic illnesses, multiple hospitalisations, and prolonged treatments can make vascular access challenging. A search was done in the English language literature using the keywords "paediatric," "vascular access," "venous access," and "techniques" or "complications" in ... Read more >>

Indian J Anaesth (Indian journal of anaesthesia)
[2019, 63(9):737-745]

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Comparison of 3 intraosseous catheter sites and methods of determining placement success in cadaver rabbits.

Christopher R Kennedy, Jay N Gladden, Elizabeth A Rozanski,

The study goals were to determine if intraosseous (IO) catheters can be placed with greater success into the humerus, femur, or tibia of cadaver rabbits, and to evaluate the accuracy of perceived success (PS) and objective clinical success (OCS) criteria against true intramedullary catheterization confirmed by fluoroscopy. This was a ... Read more >>

Can. J. Vet. Res. (Canadian journal of veterinary research = Revue canadienne de recherche veterinaire)
[2020, 84(1):33-36]

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Intraosseous Catheter Flow Rates and Ease of Placement at Various Sites in Canine Cadavers.

James Lange, Søren R Boysen, Adam Bentley, Aylin Atilla,

Objective: To compare intraosseous catheter placement difficulty, success rates, and flow rates at four different locations in canine cadavers. Design: Prospective study. Setting: Private referral center. Animals: Eleven fresh canine cadavers. Interventions: With owner consent, animals presenting for euthanasia were recruited. Animals received heparin (1,000 IU/kg IV) at least 5 ... Read more >>

Front Vet Sci (Frontiers in Veterinary Science)
[2019, 6:312]

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Use of Intraosseous Needles in Neonates: A Systematic Review.

Alexandra Scrivens, Peter R Reynolds, Faith E Emery, Calum T Roberts, Graeme R Polglase, Stuart B Hooper, Charles Christoph Roehr,

BACKGROUND:The use of intraosseous (IO) access during resuscitation is widely accepted and promoted in paediatric medicine but features less prominently in neonatal training. Whilst umbilical venous catheterization (UVC) is a reliable method of delivering emergency drugs and fluids, it is not always achievable in a timely manner. IO access warrants ... Read more >>

Neonatology (Neonatology)
[2019, 116(4):305-314]

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Intraosseous Administration of 23.4% NaCl for Treatment of Intracranial Hypertension.

Jing Wang, Yun Fang, Subhashini Ramesh, Asma Zakaria, Maryann T Putman, Dan Dinescu, James Paik, Romergryko G Geocadin, Pouya Tahsili-Fahadan, Laith R Altaweel,

BACKGROUND/OBJECTIVE:Prompt treatment of acute intracranial hypertension is vital to preserving neurological function and frequently includes administration of 23.4% NaCl. However, 23.4% NaCl administration requires central venous catheterization that can delay treatment. Intraosseous catheterization is an alternative route of venous access that may result in more rapid administration of 23.4% NaCl. ... Read more >>

Neurocrit Care (Neurocritical care)
[2019, 30(2):364-371]

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Epidural catheter as an alternative for umbilical vein catheterization.

Amiya K Barik, Gaurav Jain,

Saudi J Anaesth (Saudi journal of anaesthesia)
[2019, 13(2):153-154]

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Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient.

Lluís Brunet-Llobet, Eduard Lahor-Soler, Elias Isaack Mashala, Jaume Miranda-Rius,

Background:A solitary bone cyst or simple bone cyst is a nonneoplastic osseous lesion, with no epithelial lining, also considered as a pseudocyst. These lesions, with an intact bony wall and fluid-filled, are frequently discovered by chance in radiological studies. The etiopathogenesis has not been studied in depth, and the management ... Read more >>

Case Rep Dent (Case reports in dentistry)
[2019, 2019:9137507]

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A simulation procedure curriculum to increase pediatric resident exposure to procedures rarely performed in clinical practice.

Meera S Meerkov, Jason B Fischer, Thomas G Saba,

BACKGROUND:Pediatrics residents are expected by the Accreditation Council for Graduate Medical Education to competently perform 13 procedures. However, residents are graduating with poor self-perceived competency for these procedures. OBJECTIVE:We developed a curriculum using simulation training at the beginning of internship and 'refresher' workshops throughout the year in order to increase ... Read more >>

Med Educ Online (Medical education online)
[2019, 24(1):1611305]

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Palliative Sedation via Intraosseous Vascular Access: A Safe and Feasible Way to Obtain a Vascular Access End of Life.

Annica Mansfeld, Mohammadhossein Radafshar, Hlin Thorgeirsson, Carl Johan Höijer, Mikael Segerlantz,

Intraosseous (IO) access is normally reserved for emergencies and critical care conditions when venous cannulation is not possible. Nonetheless, we present a case of IO insertion to a 56-year-old man, tetraplegic for many years due to progressive spinal muscular atrophy and with refractory suffering. The IO access was used for ... Read more >>

J Palliat Med (Journal of palliative medicine)
[2019, 22(1):109-111]

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Characteristics of patients treated by the Danish Helicopter Emergency Medical Service from 2014-2018: a nationwide population-based study.

Karen Alstrup, Thea Palsgaard Møller, Lars Knudsen, Troels Martin Hansen, Jens Aage Kølsen Petersen, Leif Rognås, Charlotte Barfod,

BACKGROUND:A national Helicopter Emergency Medical Service (HEMS) was introduced in Denmark in 2014 to ensure the availability of physician-led critical care for all patients regardless of location. Appropriate dispatch of HEMS is known to be complex, and resource utilisation is a highly relevant topic. Population-based studies on patient characteristics are ... Read more >>

Scand J Trauma Resusc Emerg Med (Scandinavian journal of trauma, resuscitation and emergency medicine)
[2019, 27(1):102]

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Intraosseous contrast administration for emergency computed tomography: A case-control study.

Philipp Schindler, Anne Helfen, Moritz Wildgruber, Walter Heindel, Christoph Schülke, Max Masthoff,

OBJECTIVE:The aim of the study was to evaluate the feasibility of intraosseous (i.o.) contrast media injection (CMI) for emergency computed tomography (CT) of severe trauma and the associated image quality compared to intravenous (i.v.) CMI. MATERIALS AND METHODS:The authors retrospectively analysed objective (contrast-to-noise ratio (CNR)) and subjective (4-point Likert scale) ... Read more >>

PLoS ONE (PloS one)
[2019, 14(5):e0217629]

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The Prehospital Trauma Registry Experience With Intraosseous Access.

Steven G Schauer, Jason F Naylor, Michael D April, Andrew D Fisher, Cord W Cunningham, Jessie Renee D Fernandez, Brian P Shreve, Vikhyat S Bebarta,

BACKGROUND:Peripheral intravenous (IV) cannulation is often difficult to obtain in a patient with hemorrhagic shock, delaying the appropriate resuscitation of critically ill patients. Intraosseous (IO) access is an alternative method. To date, few data exist on use of this procedure by ground forces in Afghanistan. Here, we compare patient characteristics ... Read more >>

J Spec Oper Med (Journal of special operations medicine : a peer reviewed journal for SOF medical professionals)
[2019, 19(1):52-55]

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Single mission workload and influencing factors in German prehospital emergency medicine - a nationwide prospective survey of 1361emergency missions.

Johannes Prottengeier, Johann Georg Keunecke, Christine Gall, Christian Eiche, Andreas Moritz, Torsten Birkholz,

BACKGROUND:Workload is a major determinant of system performance and human well-being. This study aims to evaluate workload in prehospital emergency medicine on a single mission level and investigates influencing factors originating from medical scenarios, patient-provider interaction, EMS logistics and teamwork. METHODS:In a nationwide study, German paramedics were asked to evaluate ... Read more >>

Scand J Trauma Resusc Emerg Med (Scandinavian journal of trauma, resuscitation and emergency medicine)
[2019, 27(1):75]

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The Crashing Obese Patient.

Brian K Parker, Sara Manning, Michael E Winters,

Emergency physicians (EP) frequently resuscitate and manage critically ill patients. Resuscitation of the crashing obese patient presents a unique challenge for even the most skilled physician. Changes in anatomy, metabolic demand, cardiopulmonary reserve, ventilation, circulation, and pharmacokinetics require special consideration. This article focuses on critical components in the resuscitation of ... Read more >>

West J Emerg Med (Western Journal of Emergency Medicine)
[2019, 20(2):323-330]

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Using simulation to explore the impact of device design on the learning and performance of peripheral intravenous cannulation.

Bronwyn Reid-McDermott, Maryanne Browne, Dara Byrne, Paul O'Connor, Emily O'Dowd, Chloe Walsh, Caoimhe Madden, Sinéad Lydon,

Background:The design of medical devices impacts upon the performance of healthcare professionals and patient safety. However, multiple devices serving the same function are often available. The purpose of this study was to use simulation as a means of examining the impact of differences in device design on (1) learning of, ... Read more >>

Adv Simul (Lond) (Advances in simulation (London, England))
[2019, 4:27]

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Comparison of two different intraosseous access methods in a physician-staffed helicopter emergency medical service - a quality assurance study.

Renate Sørgjerd, Geir Arne Sunde, Jon-Kenneth Heltne,

BACKGROUND:Intravenous access in critically ill and injured patients can be difficult or impossible in the field. Intraosseous access is a well-established alternative to achieve access to a noncollapsible vascular network. We wanted to compare the use of a sternal and tibial/humeral intraosseous device in a physician-staffed helicopter emergency medical service. ... Read more >>

Scand J Trauma Resusc Emerg Med (Scandinavian journal of trauma, resuscitation and emergency medicine)
[2019, 27(1):15]

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Transvenous Embolization of Dural Arteriovenous Fistula of the Anterior Condylar Confluence via the Intercavernous Sinus Assisted by Bone Subtraction Computed Tomography Angiography.

Kazuki Sakakura, Yasunobu Nakai, Go Ikeda, Masanari Shiigai, Noriyuki Watanabe, Kazuya Uemura, Alexander Zaboronok, Eiichi Ishikawa, Akira Matsumura,

BACKGROUND:Dural arteriovenous fistulae (dAVFs) of the anatomically complex anterior condylar confluence (ACC) are often examined by computed tomography (CT) angiography and conventional angiography before treatment. Contrasted vessels often overlap with skull bones in enhanced CT scan and make it difficult to detect the shunt point of the dAVF. Bone subtraction ... Read more >>

World Neurosurg (World neurosurgery)
[2019, 126:151-155]

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Comparison of 4 Pediatric Intraosseous Access Devices: A Randomized Simulation Study.

Lukasz Szarpak, Jerzy R Ladny, Marek Dabrowski, Michael Ladny, Jacek Smereka, Sanchit Ahuja, Kurt Ruetzler,

Obtaining intravascular access can be challenging or even impossible in several clinical situations. As an alternative, medications and fluids can be administered via the intraosseous (IO) route, which is a well-tolerated and established alternative, especially in the emergency setting.Seventy-five novice physicians participated in this randomized simulation study. After a single ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2018, :]

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[Safe Vascular Access - the Guideline of the Association of Anaesthesists of Great Britain and Ireland 2016].

Lars Bergmann,

This guideline was presented in 2016 due to the need for an up to date evidence-based guidance focusing on patient safety. In addition to safety-related aspects of catheter insertion or removal, organisational issues and structured training concepts were discussed. The guideline was created based on the review of current literature ... Read more >>

Anasthesiol Intensivmed Notfallmed Schmerzther (Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
[2018, 53(6):458-465]

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Rapid Response and Cardiac Arrest Teams: A Descriptive Analysis of 103 American Hospitals.

Oscar J L Mitchell, Caroline W Motschwiller, James M Horowitz, Oren A Friedman, Graham Nichol, Laura E Evans, Vikramjit Mukherjee,

Despite improvements in the management of in-hospital cardiac arrest over the past decade, in-hospital cardiac arrest continues to be associated with poor prognosis. This has led to the development of rapid response systems, hospital-wide efforts to improve patient outcomes by centering on prompt identification of decompensating patients, expert clinical management, ... Read more >>

Crit Care Explor (Critical Care Explorations)
[2019, 1(8):e0031]

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Duration to Establish an Emergency Vascular Access and How to Accelerate It: A Simulation-Based Study Performed in Real-Life Neonatal Resuscitation Rooms.

Eva M Schwindt, Florian Hoffmann, Philipp Deindl, Thomas J Waldhoer, Jens C Schwindt,

OBJECTIVES:To compare the duration to establish an umbilical venous catheter and an intraosseous access in real hospital delivery rooms and as a secondary aim to assess delaying factors during establishment and to provide recommendations to accelerate vascular access in neonatal resuscitation. DESIGN:Retrospective analysis of audio-video recorded neonatal simulation training. SETTINGS:Simulation ... Read more >>

Pediatr Crit Care Med (Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies)
[2018, 19(5):468-476]

Cited: 1 time

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