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Experience of Using the Intraosseous Access to Critical Pediatric Patients in a Tertiary Emergency Department

Other Title
응급의료센터에 내원한 중증 소아 환자에게 시행한 골내 주사의 경험
Authors
이, 정주; 민, 영기; 김, 아정; 이, 지숙
Citation
Taehan Ŭnggup Ŭihakhoe chi, 25(6):690-695, 2014
Journal Title
Taehan Ŭnggup Ŭihakhoe chi; Journal of the Korean Society of Emergency Medicine; 대한응급의학회지
ISSN
1226-4334
Abstract
Purpose: Intraosseous infusion is a safe and effective vascularaccess route in critically ill patients, especially in thepediatric population. Use of intraosseous access hasshown a recent increase in Korea, but this procedure is notwell reported. The aim of this study is to evaluate the clinicalcharacteristics and outcomes of intraosseous infusion.



Methods: This study was a retrospective chart review ofpediatric patients who received intraosseous infusion at atertiary emergency department between April 2010 andMarch 2014. Their clinical characteristics and outcomeswere evaluated.



Results: A total of 30 patients participated; 25 patientswere cardiac arrest, three were status epilepticus, one wasseptic shock, and one was severe hypovolemic shock. Final procedure success rate was 90% and average 1.63attempts were performed per child. Finally 12 patients survivedover 24 hours. In particular, all patients of non-cardiacarrest survived and were discharged successfully from ourhospital. Median maintenance time of the intraosseousdevice among survived patients was 112 minutes. No complicationswere reported.



Conclusion: Intraosseous infusion in the emergencydepartment was a very effective procedure for cardiacarrested patients and critically ill patients in whom access tothe vascular route was difficult.
Keywords
Intraosseous infusionsPediatricsCardiac arrest
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Emergency Medicine
AJOU Authors
민, 영기이, 지숙
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