儿科复苏中骨内输液的急诊使用情况和成功率。
Emergency department utilization and success rates for intraosseous infusion in pediatric resuscitations.
出版信息
CJEM. 2000 Jan;2(1):10-4. doi: 10.1017/s1481803500004334.
OBJECTIVE
To determine the frequency of use and the success rates of intraosseous (IO) vascular access in the emergency department.
DESIGN
A retrospective chart review.
SETTING
A tertiary pediatric emergency department (ED) in a large urban centre.
METHODS
ED resuscitations (ICD-9 code 996) occurring between Oct. 1, 1989, and Sept. 30, 1995, were identified by searching the ED database, inpatient database, ICU admission log and provincial medical examiner's database. From these, all cases involving IO access were selected and comprised the study sample. Demographics, diagnosis, number of IO attempts, success or failure of IO placement, relevant times and patient outcomes were recorded on standard data forms. Frequency of use, success rates and performance times were reported.
RESULTS
IO access was successful in 36 of 42 (86%) patients. In total, there were 68 attempts, or 1.6 attempts per child. All but one child were less than 3 years of age. The median time to successful IO placement was 8 minutes. Two complications, both fractures, occurred in one patient, a 10-day-old neonate.
CONCLUSIONS
IO success rates were high despite infrequent use.
目的
确定急诊科骨内（IO）血管通路的使用频率和成功率。
设计
回顾性图表审查。
设置
在一个大型城市中心的三级儿科急诊部。
方法
通过搜索急诊数据库、住院数据库、重症监护病房入院记录和省级法医数据库，确定 1989 年 10 月 1 日至 1995 年 9 月 30 日期间发生的急诊复苏（ICD-9 代码 996）。从这些中，选择所有涉及 IO 访问的病例，构成研究样本。记录人口统计学、诊断、IO 尝试次数、IO 放置的成功或失败、相关时间和患者结果，记录在标准数据表上。报告使用频率、成功率和执行时间。
结果
在 42 名患者中的 36 名（86%）中成功进行了 IO 访问。总共有 68 次尝试，即每个孩子尝试 1.6 次。除一名儿童外，所有儿童均小于 3 岁。成功进行 IO 放置的中位数时间为 8 分钟。一名 10 天大的新生儿发生了 2 例并发症，均为骨折。
结论
尽管使用频率不高，但 IO 成功率很高。
Zotero 插件