Document Detail


Systemic Fibrinolysis Through Intraosseous Vascular Access in ST-Segment Elevation Myocardial Infarction.
MedLine Citation:
PMID:  20947209     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
In emergency situations, intraosseous cannulation represents an alternative route of vascular access when peripheral vein insertion is difficult. We present the first documented case of intraosseous systemic fibrinolysis in a patient with ST-segment elevation myocardial infarction. In this case, repetitive episodes of ventricular fibrillation occurred soon after first contact with emergency care providers. Given that the patient had difficult peripheral venous access, an intraosseous catheter was inserted. Fibrinolytics and antiarrhythmic drugs were administered though this line, resulting in resolution of coronary ischemia and electrical instability, without complications. Intraosseous cannulation represents a novel route for administration of systemic fibrinolysis in cases of difficult peripheral venous access in the out-of-hospital setting.
Authors:
Pedro José Ruiz-Hornillos; Fernando Martínez-Cámara; Mercedes Elizondo; José Antonio Jiménez-Fraile; Maria Del Mar Alonso-Sánchez; Dolores Galán; Juan Carlos García-Rubira; Carlos Macaya; Borja Ibanez
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Publication Detail:
Type:  Journal Article     Date:  2010-10-13
Journal Detail:
Title:  Annals of emergency medicine     Volume:  57     ISSN:  1097-6760     ISO Abbreviation:  Ann Emerg Med     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  572-4     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.
Affiliation:
Servicio de Asistencia Municipal de Urgencia y Rescate, Madrid, Spain.
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