Vascular Access in Resuscitation: Is There a Role for the Intraosseous Route?

Intraosseous vascular access is a time-tested procedure which has been incorporated into the 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation. Intravenous access is often difficult to achieve in shock patients, and central line placement can be time consuming. Intraosseou...

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Veröffentlicht in:Anesthesiology (Philadelphia) 2014-04, Vol.120 (4), p.1015-1031
1. Verfasser: ANSON, Jonathan A
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description Intraosseous vascular access is a time-tested procedure which has been incorporated into the 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation. Intravenous access is often difficult to achieve in shock patients, and central line placement can be time consuming. Intraosseous vascular access, however, can be achieved quickly with minimal disruption of chest compressions. Newer insertion devices are easy to use, making the intraosseous route an attractive alternative for venous access during a resuscitation event. It is critical that anesthesiologists, who are often at the forefront of patient resuscitation, understand how to properly use this potentially life-saving procedure.
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subjects Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Biological and medical sciences
Cardiopulmonary Resuscitation - methods
Cardiopulmonary Resuscitation - standards
Humans
Infusions, Intraosseous - instrumentation
Infusions, Intraosseous - methods
Medical sciences
Practice Guidelines as Topic
Swine
Vascular Access Devices
title Vascular Access in Resuscitation: Is There a Role for the Intraosseous Route?
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