Experience of Using the Intraosseous Access to Critical Pediatric Patients in a Tertiary Emergency Department
응급의료센터에 내원한 중증 소아 환자에게 시행한 골내 주사의 경험
이, 정주; 민, 영기; 김, 아정; 이, 지숙
Taehan Ŭnggup Ŭihakhoe chi, 25(6):690-695, 2014
Taehan Ŭnggup Ŭihakhoe chi; Journal of the Korean Society of Emergency Medicine; 대한응급의학회지
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.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.
Total Visit :3,088,538
Total Download :1,260,449
Today View :1,677
Ajou University Medical Information & Media Center 164 Worldcup-ro Yeongtong-gu Suwon 16499 Korea / TEL : 031-219-5312 / FAX : 031-219-5314 Copyright (c) Ajou University Medical Information & Media Center All Rights Reserved. AJOU Open Repository는 국립중앙도서관 OAK 보급사업으로 구축되었습니다.