Experience of Using the Intraosseous Access to Critical Pediatric Patients in a Tertiary Emergency Department.
- Author:
Jeong Ju LEE
1
;
Young Gi MIN
;
A Jung KIM
;
Ji Sook LEE
Author Information
1. Department of Emergency Medicine, School of Medicine, Ajou University, Suwon, Korea. eesysook@naver.com
- Publication Type:Original Article
- Keywords:
Intraosseous infusions;
Pediatrics;
Cardiac arrest
- MeSH:
Child;
Critical Illness;
Emergency Service, Hospital*;
Heart Arrest;
Humans;
Infusions, Intraosseous;
Korea;
Pediatrics;
Retrospective Studies;
Shock;
Shock, Septic;
Status Epilepticus
- From:Journal of the Korean Society of Emergency Medicine
2014;25(6):690-695
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Intraosseous infusion is a safe and effective vascular access route in critically ill patients, especially in the pediatric population. Use of intraosseous access has shown a recent increase in Korea, but this procedure is not well reported. The aim of this study is to evaluate the clinical characteristics and outcomes of intraosseous infusion. METHODS: This study was a retrospective chart review of pediatric patients who received intraosseous infusion at a tertiary emergency department between April 2010 and March 2014. Their clinical characteristics and outcomes were evaluated. RESULTS: A total of 30 patients participated; 25 patients were cardiac arrest, three were status epilepticus, one was septic shock, and one was severe hypovolemic shock. Final procedure success rate was 90% and average 1.63 attempts were performed per child. Finally 12 patients survived over 24 hours. In particular, all patients of non-cardiac arrest survived and were discharged successfully from our hospital. Median maintenance time of the intraosseous device among survived patients was 112 minutes. No complications were reported. CONCLUSION: Intraosseous infusion in the emergency department was a very effective procedure for cardiac arrested patients and critically ill patients in whom access to the vascular route was difficult.
