Clinical comparison of intraosseous versus traditional infusion in critical pediatric patients under resuscitation
10.3760/cma.j.issn.1008-6706.2016.21.010
- VernacularTitle:骨髓内输液与传统输液在危重症患儿急救中的临床对比研究
- Author:
Yingrong LIN
;
Qi PAN
;
Lingling LUO
;
Danfeng PAN
- Publication Type:Journal Article
- Keywords:
Fluid therapy;
Bone marrow;
Emergency treatment;
Child
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(21):3240-3243
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effect of intraosseous versus traditional infusion in critical pediatric patients under resuscitation.Methods 56 critical pediatric patients under resuscitation,who were difficult to establish a venous access,were divided into two groups:intraosseous infusion group (IOI group)and traditional group.The clinical characteristics,lab tests,clinical efficacy and complications of all patients were recorded in detail. Results The general characteristics of two groups were comparable.The mean operation time to establish an emergency infusion access in the IOI group was (1.01 ±0.53)min,which was significantly shorter than (8.97 ±2.36)min of the traditional group(t =4.856,P <0.01).The IOI group had a greater efficacy over the traditional group (50.0% vs 36.7%),in the IOI group,the patients showed obvious positive effect and less patients had no efficacy(χ2 =18.476, P <0.05 ).In addition,lower complication rate and mortality were observed in the IOI group.Conclusion For critical pediatric patients under resuscitation whose intravascular access cannot be achieved through peripheral venous,intraosseous infusion is prior to traditional infusion.
