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Current Advances in Intraosseous Infusion - A systematic review.
MedLine Citation:
PMID:  21871243     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: To describe the advancement of Intraosseous (IO) infusion in the spectrum of resuscitative protocols and to provide a systematic review on currently used semi-automatic IO infusion devices. The specific question addressed was: "In patients undergoing resuscitation, does the use of semi-automatic IO infusion devices compared to manual needles influence IO placement success rate, time for IO placement, and ease-of-use and user preference?" METHODS: The electronic databases PubMed and Embase were searched for articles published from 1997 until 2010 using the search terms ("intraosseous") AND ("needle" or "device" or "technique") AND ("infusion" or "injection" or "access"). The internet search engine Google Scholar was searched using the search term "intraosseous infusion device" to identify articles published in electronic journals, books, and scientific websites. Articles were included only if they compared at least two types of semi-automatic devices, or compared one or more semi-automatic device with one or more manual needles. Reviews, editorials, surveys, and case reports were excluded. RESULTS: The search strategy yielded 179 papers. Ten studies met full criteria for further review. Of these, two were LOE 1 (Randomized Controlled Trials), one was LOE 2 (non-randomized, concurrent controls), one was LOE 3 (retrospective controls), and six were LOE 5 (simulation-based study). One of the six LOE 5 studies was a non-peer reviewed article. CONCLUSIONS: Only a few studies compared the performance of different types of IO infusion devices, most of them have a low level of evidence. These studies suggested a superiority of the battery-powered IO driver over manual needles, and other semi-automatic IO infuson devices.
Authors:
Giora Weiser; Yoav Hoffmann; Roger Galbraith; Itai Shavit
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-8-23
Journal Detail:
Title:  Resuscitation     Volume:  -     ISSN:  1873-1570     ISO Abbreviation:  -     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-8-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011. Published by Elsevier Ireland Ltd.
Affiliation:
Emergency Department, Meyer Children's Hospital, Rambam Health Care Campus, Haifa, Israel.
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