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Intraosseous Access

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Vascular Access in Neonates and Children

Abstract

The intraosseous infusion technique is a well-established alternative access in situations with difficult venous access or otherwise time-critical need for acute parenteral therapy. It usually represents a “life-line” that is meant to function as a bridge to a more durable and stable venous access, such as a central venous line.

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Bibliography

  1. Burgert JM. A primer on intraosseous access: history, clinical considerations, and current devices. Am J Disaster Med. 2016;11(3):167–73.

    Article  Google Scholar 

  2. Hallas P, Brabrand M, Folkestad L. Complication with intraosseous access: scandinavian users’ experience. West J Emerg Med. 2013;14(5):440–3.

    Article  Google Scholar 

  3. Hallas P, Folkestad L, Brabrand M. How many training modalities are needed to obtain procedural confidence in intraosseous access? A questionnaire study. Eur J Emerg Med. 2011;18(6):360–2.

    Article  Google Scholar 

  4. Hansen M, Meckler G, Spiro D, Newgard C. Intraosseous line use, complications, and outcomes among a population-based cohort of children presenting to California hospitals. Pediatr Emerg Care. 2011;27(10):928–32.

    Article  Google Scholar 

  5. Kwon OY, Park SY, Yoon TY. Educational effect of intraosseous access for medical students. Korean J Med Educ. 2014;26(2):117–24.

    Article  Google Scholar 

  6. Maurin O, de Regoix S, Legonidec E, Tourtier JP, Kaiser E. Leg ischemia complicating the intraosseous infusion of epinephrine for a Djiboutian child. Med Sante Trop. 2014;24(2):214–6.

    CAS  PubMed  Google Scholar 

  7. Neuhaus D. Intraosseous infusion in elective and emergency pediatric anesthesia: when should we use it? Curr Opin Anaesthesiol. 2014;27(3):282–7.

    Article  CAS  Google Scholar 

  8. Oesterlie GE, Petersen KK, Knudsen L, Henriksen TB. Crural amputation of a newborn as a consequence of intraosseous needle insertion and calcium infusion. Pediatr Emerg Care. 2014;30(6):413–4.

    Article  Google Scholar 

  9. Petitpas F, Guenezan J, Vendeuvre T, Scepi M, Oriot D, Mimoz O. Use of intraosseous access in adults: a systematic review. Crit Care. 2016;20:102.

    Article  CAS  Google Scholar 

  10. Reuter-Rice K, Patrick D, Kantor E, Nolin C, Foley J. Characteristics of children who undergo intraosseous needle placement. Adv Emerg Nurs J. 2015;37(4):301–7.

    Article  Google Scholar 

  11. Schwindt JC. Intraosseous access-of no value in neonatal resuscitation? Resuscitation. 2016:103–5.

    Google Scholar 

  12. Suominen PK, Nurmi E, Lauerma K. Intraosseous access in neonates and infants: risk of severe complications—a case report. Acta Anaesthesiol Scand. 2015;59(10):1389–93.

    Article  CAS  Google Scholar 

  13. Tobias JD, Ross AK. Intraosseous infusions: a review for the anesthesiologist with a focus on pediatric use. Anesth Analg. 2010;110(2):391–401.

    Article  Google Scholar 

  14. Yamamoto T, Schindler E. Anasthesiol Intensivmed Notfallmed Schmerzther. Vascular access in pediatric patients in emergency situations. 2017;52(1):55–64.

    Google Scholar 

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Correspondence to Diego Neuhaus .

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Neuhaus, D., Engelhardt, T. (2022). Intraosseous Access. In: Biasucci, D.G., Disma, N.M., Pittiruti, M. (eds) Vascular Access in Neonates and Children. Springer, Cham. https://doi.org/10.1007/978-3-030-94709-5_20

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  • DOI: https://doi.org/10.1007/978-3-030-94709-5_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-94708-8

  • Online ISBN: 978-3-030-94709-5

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