Jackson Erin E, Ashley T Clay, Snowden Karen F, Gresham Vincent C, Budke Christine M, Eichelberger Bunita M, Taylor Destiny A
Comparative Medicine Program, Veterinary Medical Park, Texas A&M University, College Station, Texas, USA.
J Am Assoc Lab Anim Sci. 2011 May;50(3):365-73.
We performed 2 studies to assess the function and longevity of a novel intraosseous catheter device. For study 1, 9 goats were assigned to 3 groups (intraosseous catheter in the proximal humerus, intraosseous catheter in the proximal tibia, or standard jugular catheter). Devices in the tibia remained in place for less time than did those in the humerus, and no goats exhibited radiographic evidence of resulting damage or structural change in surrounding bone. Positive bacterial cultures were found in all 9 goats at various time points. In study 2, 18 goats were assigned to 2 groups (intraosseous catheter in the wing of the ilium or proximal humerus). Samples for serial aerobic and anaerobic blood cultures and CBC were collected while devices remained in use. Clinical monitoring and removal criteria were identical those for study 1. Catheters in the ilium remained in place for less than 24 h on average, and those in the humerus remained in place for an average of 2.5 d. Several goats with proximal humeral catheters demonstrated moderate lameness after removal, and radiographic evidence of periosteal bone growth was noted in another goat. Bloodwork indicated mild elevations of WBC counts from baseline in some cases. Bacterial growth was found in samples from 4 of 18 goats at various time points. Our study indicated that intraosseous catheters may remain safely in place for more than 24 h, but animals should be monitored closely for negative side effects for several days after removal.
我们进行了两项研究,以评估一种新型骨内导管装置的功能和使用寿命。在研究1中,9只山羊被分为3组(分别在肱骨近端植入骨内导管、在胫骨近端植入骨内导管或植入标准颈静脉导管)。胫骨中的装置留置时间比肱骨中的短,且没有山羊出现影像学证据表明周围骨骼有损伤或结构变化。在所有9只山羊的不同时间点均发现了阳性细菌培养结果。在研究2中,18只山羊被分为2组(分别在髂骨翼或肱骨近端植入骨内导管)。在装置仍在使用时采集连续需氧和厌氧血培养样本及全血细胞计数样本。临床监测和拔除标准与研究1相同。髂骨中的导管平均留置时间不到24小时,肱骨中的导管平均留置时间为2.5天。几只植入肱骨近端导管的山羊在拔除后出现中度跛行,在另一只山羊中发现了骨膜骨生长的影像学证据。血液检查表明,在某些情况下白细胞计数较基线有轻度升高。在18只山羊中的4只山羊的不同时间点样本中发现了细菌生长。我们的研究表明,骨内导管可以安全留置超过24小时,但在拔除后的几天内应对动物进行密切监测,以观察是否有不良副作用。