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KMID : 0385920140250060690
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Journal of the Korean Society of Emergency Medicine
2014 Volume.25 No. 6 p.690 ~ p.695
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Experience of Using the Intraosseous Access to Critical Pediatric Patients in a Tertiary Emergency Department
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Lee Jeong-Ju
Min Young-Gi
Kim A-Jung
Lee Ji-Sook
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Abstract
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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.
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KEYWORD
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Intraosseous infusions, Pediatrics, Cardiac arrest
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