Document Detail

Systemic Fibrinolysis Through Intraosseous Vascular Access in ST-Segment Elevation Myocardial Infarction.
MedLine Citation:
PMID:  20947209     Owner:  NLM     Status:  In-Data-Review    
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.
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
Related Documents :
15253949 - Markers of inflammation and multiple complex stenoses (pancoronary plaque vulnerability...
16234889 - Perspectives on acute coronary syndromes.
20690099 - Lithium intoxication causing st segment elevation and wandering atrial rhythms in an el...
3599369 - Acute electrocardiographic changes associated with successful coronary thrombolysis in ...
19548129 - Acute hyperglycemia and spontaneous reperfusion in acute myocardial infarction.
6481279 - Vectorcardiographic features of acute right ventricular infarction.
3657259 - Left ventricular aneurysm with predominating congestive heart failure. a comparative st...
11810439 - Electron microscopic stereology of capillary endothelial cells and cardiomyocytes in ar...
21394029 - Five-year clinical follow-up after sirolimus-eluting stent implantation for the treatme...
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.
Servicio de Asistencia Municipal de Urgencia y Rescate, Madrid, Spain.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Comparison of the use of conventional and prewired electrodes for electrocardiography in an emergenc...
Next Document:  A blinded, randomized controlled trial to evaluate ketamine/propofol versus ketamine alone for proce...