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J Korean Soc Emerg Med > Volume 25(6); 2014 > Article
Journal of The Korean Society of Emergency Medicine 2014;25(6): 690-695.
Experience of Using the Intraosseous Access to Critical Pediatric Patients in a Tertiary Emergency Department
Jeong Ju Lee, Young Gi Min, A Jung Kim, Ji Sook Lee
1Department of Emergency Medicine, School of Medicine, Ajou University, Suwon, Korea. eesysook@naver.com
2Center for Community Safety Promotion, Ajou University Medical Center, Suwon, Korea.
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.
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.
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.
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.
Key words: Intraosseous infusions, Pediatrics, Cardiac arrest
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