Successful intraosseous infusion in the critically ill patient does not require a medullary cavity.

Hdl Handle:
http://hdl.handle.net/10147/209010
Title:
Successful intraosseous infusion in the critically ill patient does not require a medullary cavity.
Authors:
McCarthy, Gerard; O'Donnell, Cathal; O'Brien, Moira
Affiliation:
Department of Emergency Medicine, Cork University Hospital, Wilton, Cork,, Ireland.
Citation:
Resuscitation. 2003 Feb;56(2):183-6.
Journal:
Resuscitation
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209010
PubMed ID:
12589992
Abstract:
OBJECTIVES: To demonstrate that successful intraosseous infusion in critically ill patients does not require bone that contains a medullary cavity. DESIGN: Infusion of methyl green dye via standard intraosseous needles into bones without medullary cavity-in this case calcaneus and radial styloid-in cadaveric specimens. SETTING: University department of anatomy. PARTICIPANTS: Two adult cadaveric specimens. MAIN OUTCOME MEASURES: Observation of methyl green dye in peripheral veins of the limb in which the intraosseous infusion was performed. RESULTS: Methyl green dye was observed in peripheral veins of the chosen limb in five out of eight intraosseous infusions into bones without medullary cavity-calcaneus and radial styloid. CONCLUSIONS: Successful intraosseous infusion does not always require injection into a bone with a medullary cavity. Practitioners attempting intraosseous access on critically ill patients in the emergency department or prehospital setting need not restrict themselves to such bones. Calcaneus and radial styloid are both an acceptable alternative to traditional recommended sites.
Language:
eng
MeSH:
Adult; Biological Availability; Bone Marrow/*drug effects; Cadaver; Calcaneus/drug effects; Coloring Agents/pharmacology; Critical Illness/therapy; Humans; *Infusions, Intraosseous; Radius/drug effects; Sensitivity and Specificity
ISSN:
0300-9572 (Print); 0300-9572 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorMcCarthy, Gerarden_GB
dc.contributor.authorO'Donnell, Cathalen_GB
dc.contributor.authorO'Brien, Moiraen_GB
dc.date.accessioned2012-02-03T15:09:50Z-
dc.date.available2012-02-03T15:09:50Z-
dc.date.issued2012-02-03T15:09:50Z-
dc.identifier.citationResuscitation. 2003 Feb;56(2):183-6.en_GB
dc.identifier.issn0300-9572 (Print)en_GB
dc.identifier.issn0300-9572 (Linking)en_GB
dc.identifier.pmid12589992en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209010-
dc.description.abstractOBJECTIVES: To demonstrate that successful intraosseous infusion in critically ill patients does not require bone that contains a medullary cavity. DESIGN: Infusion of methyl green dye via standard intraosseous needles into bones without medullary cavity-in this case calcaneus and radial styloid-in cadaveric specimens. SETTING: University department of anatomy. PARTICIPANTS: Two adult cadaveric specimens. MAIN OUTCOME MEASURES: Observation of methyl green dye in peripheral veins of the limb in which the intraosseous infusion was performed. RESULTS: Methyl green dye was observed in peripheral veins of the chosen limb in five out of eight intraosseous infusions into bones without medullary cavity-calcaneus and radial styloid. CONCLUSIONS: Successful intraosseous infusion does not always require injection into a bone with a medullary cavity. Practitioners attempting intraosseous access on critically ill patients in the emergency department or prehospital setting need not restrict themselves to such bones. Calcaneus and radial styloid are both an acceptable alternative to traditional recommended sites.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshBiological Availabilityen_GB
dc.subject.meshBone Marrow/*drug effectsen_GB
dc.subject.meshCadaveren_GB
dc.subject.meshCalcaneus/drug effectsen_GB
dc.subject.meshColoring Agents/pharmacologyen_GB
dc.subject.meshCritical Illness/therapyen_GB
dc.subject.meshHumansen_GB
dc.subject.mesh*Infusions, Intraosseousen_GB
dc.subject.meshRadius/drug effectsen_GB
dc.subject.meshSensitivity and Specificityen_GB
dc.titleSuccessful intraosseous infusion in the critically ill patient does not require a medullary cavity.en_GB
dc.contributor.departmentDepartment of Emergency Medicine, Cork University Hospital, Wilton, Cork,, Ireland.en_GB
dc.identifier.journalResuscitationen_GB
dc.description.provinceMunster-

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