Möller J C, Tegtmeyer F K, Schaible T F, Sussmane J B
Klinik für Pädiatrie, Medizinischen Universität zu Lübeck.
Anaesthesiol Reanim. 1996;21(4):103-7.
In paediatric resuscitation scenarios, emergency physicians have sufficient skills in endotracheal intubation. They are successful in about 80% of the cases as US studies indicate. However, vascular access is much more of a critical problem and emergency physicians succeed in only 50%. Therefore, intraosseous access has become an internationally widely used and accepted method for venous access. In Germany, however, only case reports concerning this technique have been published. Based on the authors' experience shared with Sussmane and Raszynski in the US, we used the technique of intraosseous access in 18 paediatric resuscitative situations. Eleven patients survived who would not have done so without quick intravenous access. As complications we recorded a minor fracture, one compartment syndrome, which did not require surgical intervention, and a postmortally discovered minor fat embolism, which was of no clinical significance. Courses teaching this method should be offered in Germany to spread knowledge of this life-saving technique.
在儿科复苏场景中，急诊医生具备足够的气管插管技能。美国研究表明，他们在约80%的病例中取得成功。然而，血管通路是一个更为关键的问题，急诊医生仅在50%的情况下成功建立血管通路。因此，骨内通路已成为一种在国际上广泛使用和认可的静脉通路方法。然而，在德国，仅发表了有关该技术的病例报告。基于作者在美国与苏斯曼和拉辛斯基分享的经验，我们在18例儿科复苏情况下使用了骨内通路技术。11名患者存活下来，如果没有快速的静脉通路，他们可能无法存活。作为并发症，我们记录了1例轻微骨折、1例无需手术干预的骨筋膜室综合征，以及1例死后发现的无临床意义的轻微脂肪栓塞。德国应开设教授这种方法的课程，以传播这种救命技术的知识。
