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引用本文的文献

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本文引用的文献

1
Intraosseous devices: a randomized controlled trial comparing three intraosseous devices.骨内器械:三种骨内器械的随机对照试验。
Prehosp Emerg Care. 2010 Jan-Mar;14(1):6-13. doi: 10.3109/10903120903349861.
2
Hemodynamics after intraosseous administration of hydroxocobalamin or normal saline in a goat model.羟钴胺或生理盐水经骨髓内给药后羊模型的血液动力学。
Am J Emerg Med. 2009 Nov;27(9):1065-71. doi: 10.1016/j.ajem.2008.08.021.
3
The feasibility of inducing mild therapeutic hypothermia after cardiac resuscitation using iced saline infusion via an intraosseous needle.经皮骨内针输注冰盐水诱导心脏复苏后轻度治疗性低体温的可行性。
Resuscitation. 2010 Jan;81(1):82-6. doi: 10.1016/j.resuscitation.2009.10.003. Epub 2009 Nov 13.
4
Is the intraosseous access route fast and efficacious compared to conventional central venous catheterization in adult patients under resuscitation in the emergency department? A prospective observational pilot study.在急诊科接受复苏的成年患者中,与传统中心静脉置管相比,骨内通路是否快速且有效?一项前瞻性观察性试点研究。
Patient Saf Surg. 2009 Oct 8;3(1):24. doi: 10.1186/1754-9493-3-24.
5
Proximal humerus intraosseous infusion: a preferred emergency venous access.肱骨近端骨内输液:一种首选的紧急静脉通路。
J Trauma. 2009 Sep;67(3):606-11. doi: 10.1097/TA.0b013e3181b16f42.
6
An observational, prospective study to determine the ease of vascular access in adults using a novel intraosseous access device.一项观察性前瞻性研究,旨在确定使用新型骨内穿刺装置时成人血管穿刺的难易程度。
Ann Acad Med Singap. 2009 Feb;38(2):121-4.
7
Intraosseous catheter placement in small mammals.小型哺乳动物的骨内导管置入
Lab Anim (NY). 2008 Aug;37(8):351-2. doi: 10.1038/laban0808-351.
8
Comparison of two intraosseous infusion systems for adult emergency medical use.两种用于成人急救医疗的骨内输液系统的比较。
Resuscitation. 2008 Sep;78(3):314-9. doi: 10.1016/j.resuscitation.2008.04.004. Epub 2008 Jun 24.
9
INFUSIONS OF BLOOD AND OTHER FLUIDS VIA THE BONE MARROW IN TRAUMATIC SHOCK AND OTHER FORMS OF PERIPHERAL CIRCULATORY FAILURE.在创伤性休克及其他形式的外周循环衰竭中经骨髓输注血液及其他液体
Ann Surg. 1941 Dec;114(6):1085-92. doi: 10.1097/00000658-194112000-00015.
10
Venous access in the critically ill child: when the peripheral intravenous fails!危重症患儿的静脉通路:当外周静脉穿刺失败时!
Pediatr Emerg Care. 2007 Jun;23(6):422-4; quiz 425-6. doi: 10.1097/01.pec.0000278404.30074.ad.

一种新型骨内装置在山羊(Capra hircus)模型中的性能和使用寿命。

Performance and longevity of a novel intraosseous device in a goat (Capra hircus) model.

作者信息

Jackson Erin E, Ashley T Clay, Snowden Karen F, Gresham Vincent C, Budke Christine M, Eichelberger Bunita M, Taylor Destiny A

机构信息

Comparative Medicine Program, Veterinary Medical Park, Texas A&M University, College Station, Texas, USA.

出版信息

J Am Assoc Lab Anim Sci. 2011 May;50(3):365-73.

PMID:21640033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3103288/
Abstract

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.

摘要

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。