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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.
ABSTRACT
PURPOSE:
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.
METHODS:
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.
RESULTS:
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.
CONCLUSION:
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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