دورية أكاديمية
Effectiveness of a Drill-assisted Intraosseous Catheter versus Manual Intraosseous Catheter by Resident Physicians in a Swine Model
| العنوان: | Effectiveness of a Drill-assisted Intraosseous Catheter versus Manual Intraosseous Catheter by Resident Physicians in a Swine Model |
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| المؤلفون: | Hafner, John William, Bryant, Adam, Huang, Felix, Swisher, Keir |
| المصدر: | Western Journal of Emergency Medicine, Vol 14, Iss 6, Pp 629-632 (2013) |
| بيانات النشر: | eScholarship Publishing, University of California, 2013. |
| سنة النشر: | 2013 |
| المجموعة: | LCC:Medicine LCC:Medical emergencies. Critical care. Intensive care. First aid |
| مصطلحات موضوعية: | intraosseous needle, IO, resident physician, emergency medicine, Medicine, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| الوصف: | Introduction: Our objective was to compare the effectiveness, speed, and complication rate of the traditional manually placed intraosseous (IO) catheter to a mechanical drill-assisted IO catheter by emergency medicine (EM) resident physicians in a training environment. Methods: Twenty-one EM residents participated in a randomized prospective crossover experiment placing 2 intraosseous needles (Cook® Intraosseous Needle, Cook Medical, Bloomington, IN; and EZ-IO® Infusion System, Vidacare, San Antonio, TX). IO needles were placed in anesthetized mixed breed swine (mass range: 25 kg to 27.2 kg). The order of IO placement and puncture location (proximal tibia or distal femur) were randomly assigned. IO placement time was recorded from skin puncture until the operator felt they had achieved successful placement. We used 3 verification criteria: aspiration of marrow blood, easy infusion of 10 mL saline mixed with methylene blue, and lack of stained soft tissue extravasation. Successful placement was defined as meeting 2 out of the 3 predetermined criteria. We surveyed participants regarding previous IO experience, device preferences, and comfort levels using multiple choice, Likert scale, and visual analog scale (VAS) questions. IO completion times, VAS, and mean Likert scales were compared using Student’s t-test and success rates were compared using Fisher’s exact test with p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1936-900X 1936-9018 |
| Relation: | http://escholarship.org/uc/item/9687f0cj; https://doaj.org/toc/1936-900X; https://doaj.org/toc/1936-9018 |
| DOI: | 10.5811/westjem.2013.4.13361 |
| URL الوصول: | https://doaj.org/article/6c643a09a11142d6a6c9704ed7e21f7f |
| رقم الأكسشن: | edsdoj.6c643a09a11142d6a6c9704ed7e21f7f |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 1936900X 19369018 |
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| DOI: | 10.5811/westjem.2013.4.13361 |