Stacie Hunsaker is a regional nursing education consultant for Intermountain Healthcare in Provo, UT. Darren Hillis is a clinical pharmacist at DePaul Health Center in Bridgeton, MO; at the time of writing, he was a pharmacist at Intermountain Utah Valley Regional Medical Center in Provo. Contact author: Stacie Hunsaker,
Am J Nurs. 2013 Nov;113(11):34-9; quiz 40. doi: 10.1097/01.NAJ.0000437110.65929.70.
Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients. Yet many clinicians remain unaware of the procedure. This article outlines the procedure and devices used, describes support for use in the literature, and discusses various considerations and nursing implications.
护士在给脱水、遭受创伤或休克的患者进行静脉输液时常常面临挑战。即使是最熟练的临床医生也可能会失败，同时浪费宝贵的时间。骨髓内通路是一种快速、安全、有效的输液和给药途径，许多专业和专科组织都推荐在儿科和成人患者中使用。然而，许多临床医生仍然不知道该程序。本文概述了该程序和使用的设备，描述了文献中对其使用的支持，并讨论了各种考虑因素和护理意义。
