Intraosseous Access in the Resuscitation of Patients with Trauma: the Good, the Bad, the Future

Overview

Journal Trauma Surg Acute Care Open

Specialty Critical Care

Date 2024 Apr 22

PMID 38646033

Authors

Zaffer A Qasim

Bellal Joseph

Affiliations

Soon will be listed here.

Abstract

The timely restoration of lost blood in hemorrhaging patients with trauma, especially those who are hemodynamically unstable, is of utmost importance. While intravenous access has traditionally been considered the primary method for vascular access, intraosseous (IO) access is gaining popularity as an alternative for patients with unsuccessful attempts. Previous studies have highlighted the higher success rate and easier training process associated with IO access compared with peripheral intravenous (PIV) and central intravenous access. However, the effectiveness of IO access in the early aggressive resuscitation of patients remains unclear. This review article aims to comprehensively discuss various aspects of IO access, including its advantages and disadvantages, and explore the existing literature on the clinical outcomes of patients with trauma undergoing resuscitation with IO versus intravenous access.

Citing Articles

Contemporary management of traumatic cardiac arrest and peri-arrest states: a narrative review.

Carenzo L, Calgaro G, Rehn M, Perkins Z, Qasim Z, Gamberini L J Anesth Analg Crit Care. 2024; 4(1):66.

PMID: 39327636 PMC: 11426104. DOI: 10.1186/s44158-024-00197-9.

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