Trauma. Intraosseous Devices for Intravascular Access in Adult Trauma Patients

Day, Michael W.
April 2011
Critical Care Nurse;Apr2011, Vol. 31 Issue 2, p76
Academic Journal
Three intraosseous devices have been approved by the Food and Drug Administration for use in adult trauma patients when intravenous access cannot be obtained. Sites of insertion are the sternum (FAST1), proximal tibia and humerus (Big Injection Gun), and proximal and distal tibia and humerus (EZ-IO). Insertion generally requires less than 1 minute, and flow rates up to 125 mL/min can be achieved. The devices are used for emergency resuscitation and should be removed within 24 hours of insertion or as soon as practical after peripheral or central intravenous access has been achieved. Contraindications include fractures or other trauma at the insertion site, prosthetic joints near the site, previous attempts to insert an intraosseous device at the same site, osteoporosis or other bone abnormalities, infections at the proposed site, and inability to identify pertinent insertion landmarks. Primary complications are extravasation of medications and fluids into the soft tissue, fractures caused by the insertion, and osteomyelitis.


Related Articles

  • Ask the Experts. Removal of a Pulmonary Artery Catheter in the Presence of Implanted Leads. Epping, Kathleen; Hammer, Beth // Critical Care Nurse;Aug2012, Vol. 32 Issue 4, p69 

    The article provides an answer to the question of whether a time frame should preclude the removal of a pulmonary artery catheter by trained critical care nurses in patients with implantable cardioverter defibrillator wires.

  • Intraosseous access to the circulatory system: An under-appreciated option for rapid access. Benson, G. // Journal of Perioperative Practice;Jul/Aug2015, Vol. 25 Issue 7/8, p140 

    In many emergency situations rapid vascular access is a priority, particularly in cases involving haemodynamic compromise. Traditional vascular access through the use of an intravenous cannula, although the preferred first line method, can in certain circumstances have a high rate of failure. A...

  • Safety of power driven devices. Reece, Ashley; Cohn, Anthony // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;7/16/2011, Vol. 343 Issue 7815, p112 

    No abstract available.

  • Options for intravascular access.  // Emergency Nurse;Apr2012, Vol. 20 Issue 1, p29 

    A quiz about intravascular access is presented.

  • The Importance of Tracheostomy Progression in the Intensive Care Unit. MORRIS, LINDA L.; McINTOSH, ERIK; WHITMER, ANDREA // Critical Care Nurse;Feb2014, Vol. 34 Issue 1, p40 

    A plan to progress a tracheostomy toward decannulation should be initiated unless the tracheostomy has been placed for irreversible conditions. In most cases, tracheostomy progression can begin once a patient is free from ventilator dependence. Progression often begins with cuff deflation, which...

  • Implanted ports: benefits, challenges and guidance for use. Dougherty, Lisa // British Journal of Nursing;4/27/2011 Supplement, pS12 

    Implanted ports are long-term central venous access devices implanted under the skin, usually on the chest wall. They are easy to maintain and have few complications. They are safe and well tolerated and enable the patients to continue with normal daily activities.

  • Retaining central venous catheters in paediatric parenteral nutrition. Brine, Joanne // Nursing Standard;9/2/2009, Vol. 23 Issue 52, p43 

    This article aims to discuss problems with central venous catheters (CVCs) and offer strategies to assist in preventing their replacement. The article focuses on the most frequent complications of infection and obstruction. Traditional treatment options are presented and endoluminal brushing is...

  • EB66 Evidence-Based Practice: Tailored to Fit the Unique Needs of Trauma and Burn Patients.  // Critical Care Nurse;Apr2012, Vol. 32 Issue 2, pe38 

    An abstract of the article "Evidence-Based Practice: Tailored to Fit the Unique Needs of Trauma and Burn Patients," by Sarah Taylor, Rachel Milkowski and Christy Zalewski is presented.

  • What is an acute oncology service? Leonard, Pauline // British Journal of Hospital Medicine (17508460);Apr2011, Vol. 72 Issue 4, p184 

    The author presents information on the concept of acute oncology service including its role, implementation challenges, and requirements for developing the same in the hospitals. Several data sources pertaining to the concept are cited including the National Cancer Action Team report. She states...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics