| Efficacy and safety of the EZ-IO™ intraosseous device: Out-of-hospital implementation of a management algorithm for difficult vascular access. | |
| | |
MedLine Citation:
|
PMID: 20947238 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
OBJECTIVE: Intraosseous access is a rapid and safe alternative when peripheral vascular access is difficult. Our aim was to assess the safety and efficacy of a semi-automatic intraosseous infusion device (EZ-IO) when using a management algorithm for difficult vascular access in an out-of-hospital setting. METHODS: This was a one-year prospective, observational study by mobile intensive care units. After staff training in the use of the EZ-IO device and provision of a management algorithm for difficult vascular access, all vehicles were equipped with the device. We determined device success rate and ease of use, resuscitation fluid volume and drugs administered by the intraosseous route, and complications at insertion site. RESULTS: A total of 4666 patients required vascular access. The EZ-IO device was used in 30 cardiac arrest patients (25 adults; 5 children) and 9 adults with spontaneous cardiac activity. The success rate for first insertion was 84%. Overall success rate (max. 2 attempts) was 97%. The device was used for fluid resuscitation in 16 patients (mean volume: 680ml), adrenaline administration in 24 patients, and rapid sequence induction in 2 patients. There was only one local complication (transient local inflammation). CONCLUSIONS: On implementation of an algorithm for the management of difficult vascular access, the EZ-IO device proved safe and highly effective in both adult and paediatric patients in an out-of-hospital emergency setting. It is a suitable device for consideration as a first-line option for difficult vascular access in this setting. |
| | |
Authors:
|
Nicolas Gazin; Harold Auger; Patricia Jabre; Christine Jaulin; Eric Lecarpentier; Catherine Bertrand; Alain Margenet; Xavier Combes |
Related Documents
:
|
858638 - Hyperbaric oxygen treatment as an adjuvant to reconstructive vascular surgery in trauma. 3728808 - Video angioscopy as an alternative to intraoperative arteriography. 20386758 - Intraplaque therapies for facilitating percutaneous recanalization of chronic total occ... 18638088 - Vascular access for hemodialysis: experience of a team of nephrologists. 18795688 - Intussusception: jordan university hospital experience. 11156058 - Assessment of spinal cord ischemia by means of evoked potential monitoring during thora... |
Publication Detail:
|
Type: Journal Article Date: 2010-10-14 |
Journal Detail:
|
Title: Resuscitation Volume: 82 ISSN: 1873-1570 ISO Abbreviation: Resuscitation Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2011-01-10 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
|
Languages: eng Pagination: 126-9 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
|
Service d'Anesthésie Réanimation and SAMU 94, CHU H Mondor (AP-HP), 94000 Créteil, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The effect of induced hypothermia on respiratory parameters in mechanically ventilated patients.
Next Document: Resuscitation quality assurance for out-of-hospital cardiac arrest--setting-up an ambulance defibril...