Wheeler C A
J Intraven Nurs. 1989 Nov-Dec;12(6):371-6.
Intraosseous infusion is an outmoded technique that is gaining new prominence in the field of emergency medicine. Although not recommended as a replacement for conventional modes of intravascular access, this alternative provides rapid venous access during life-threatening emergencies. A review of the literature indicates that the intraosseous route provides relatively safe, rapid, and reliable access to the systemic venous circulation and is associated with an acceptably low complication rate. This article offers a brief historical overview of this technique and discusses insertion methods, clinical applications, and nursing management of pediatric intraosseous infusion.
骨内输液是一种过时的技术,但在急诊医学领域正重新受到重视。尽管不建议将其作为传统血管内通路的替代方法,但这种替代方法能在危及生命的紧急情况下提供快速的静脉通路。文献综述表明,骨内途径能为体循环静脉提供相对安全、快速且可靠的通路,并且并发症发生率较低,在可接受范围内。本文简要介绍了该技术的历史,并讨论了小儿骨内输液的穿刺方法、临床应用及护理管理。