Zabala Argüelles J I, Marañón Pardillo R, González Serrano P, Seriña Ramírez C
Sección de Cuidados Intensivos Pediátricos, Hospital General, Gregorio Marañón, Madrid.
An Esp Pediatr. 1992 Dec;37(6):489-92.
The intraosseous infusion is an easy technique to learn. The chosen places for infusion are: proximal tibia, distal tibia and distal femur. We have used this technique on thirteen occasions in emergency situations. In all cases, access was achieved in less than one minute. Saline, glucose and Ringer's solutions, sodium bicarbonate, blood, calcium chloride, epinephrine, atropine, succinylcholine, dopamine, dobutamine, isoproterenol, lidocaine and anticonvulsants may be infused. The doses are the same as those used in parenteral access and its efficacy is similar to that of a central venous line. Complications are rare. The most frequent is subcutaneous, and occasionally subperiosteal infiltration. Osteomyelitis appeared in 0.6% of the cases. The intraosseous infusion provides rapid, easy and safe vascular access in emergency situations. Therefore, we believe that this technique should be chosen in pediatric patients.
骨内输注是一种易于掌握的技术。输注的选定部位为：胫骨近端、胫骨远端和股骨远端。我们已在紧急情况下13次使用该技术。在所有病例中，均在不到1分钟的时间内成功建立通路。可输注生理盐水、葡萄糖、林格氏液、碳酸氢钠、血液、氯化钙、肾上腺素、阿托品、琥珀酰胆碱、多巴胺、多巴酚丁胺、异丙肾上腺素、利多卡因和抗惊厥药。剂量与经肠外途径使用的剂量相同，其疗效与中心静脉置管相似。并发症很少见。最常见的是皮下，偶尔有骨膜下浸润。骨髓炎在0.6%的病例中出现。骨内输注在紧急情况下可提供快速、简便且安全的血管通路。因此，我们认为该技术应在儿科患者中选用。
