Community Health Care Centre Slovenska Bistrica, Partizanska ulica 30, 2310 Slovenska Bistrica, Slovenia.
Medical Intensive Care Unit, University Medical Centre Maribor, Ljubljanska ulica 5, 2000 Maribor, Slovenia.
Medicina (Kaunas). 2022 Aug 12;58(8):1086. doi: 10.3390/medicina58081086.
: Insertion of an intraosseous access device enables intravascular access for critically ill patients in a prehospital and emergency department setting even when intravenous access is not possible. The aim of our study was to assess the attitudes of prehospital and emergency department nursing staff towards the utilization of intraosseous access devices. : We performed quantitative research using a closed-ended structured questionnaire distributed to prehospital unit and associated emergency department nursing staff serving a population of around 200,000 inhabitants. : We distributed 140 questionnaires, and 106 were returned and completed. Of these, 69 (65.1%) respondents needed more than three attempts to achieve peripheral intravenous access at least once in the last year and 29 (27.4%) required central venous access because of impossible intravenous access. In the last five years, 8 (7.5%) respondents used endotracheal route for administration of medications. Despite this, only 48 (45.3%) of respondents have ever used the intraosseous route. Also, 79 (74.5%) respondents received at least some training in obtaining IO access; however, 46 (43.4%) answered that education regarding intraosseous access is not sufficient, and 92 (86.8%) answered that they wanted additional training regarding intraosseous access. : Prehospital and emergency department nursing staff are aware of the importance of intraosseous access and understand the need for additional education and certification in this field.
: 经皮穿刺骨髓腔置管术可在院前和急诊科环境下为危重症患者建立血管内通路，即使无法建立静脉通路也是如此。我们的研究目的是评估院前和急诊科护理人员对骨髓内通路装置应用的态度。: 我们采用封闭式结构问卷进行定量研究，问卷分发给服务于约 20 万居民的院前单位和相关急诊科护理人员。: 我们共发放了 140 份问卷，回收并完成了 106 份。其中，69 名（65.1%）应答者在过去一年中至少有 3 次因外周静脉通路建立困难而需要尝试建立，29 名（27.4%）因静脉通路建立不可能而需要建立中心静脉通路。在过去五年中，8 名（7.5%）应答者曾通过气管内途径给予药物。尽管如此，只有 48 名（45.3%）应答者曾使用过骨髓内途径。此外，79 名（74.5%）应答者接受过获取 IO 通路的至少部分培训；然而，46 名（43.4%）应答者表示针对骨髓内通路的教育不够充分，92 名（86.8%）应答者表示希望在骨髓内通路方面接受更多培训。: 院前和急诊科护理人员认识到骨髓内通路的重要性，并理解在该领域需要额外的教育和认证。
