We aren’t taking intraosseus needle techniques seriously enough. Despite their record of speed, safety and ease of use they are still considered a mere handy back up to use after failed IV cannulation. What will it take for them to end up where they belong? Here’s another study that demands our attention.
The study show how tibial IOs is the fastest way to get reliable access to the circulation in patients with cardiac arrest. Patients were randomised into either tibial IO, humoral IO or peripheral IV. They compared the first-attempt success (FAS) rate and the time it took to get venous access (TVA) in each of these groups.
First attempt success rates
· The patients randomised to tibial IO experienced FAS in 91% of the cases.
· The patients randomised to humoral IO experienced FAS 51% of the cases.
· The patients randomised to peripheral IV experienced FAS in 43% of the cases.
Timings to achieve vascular access:
· The patients randomised to tibial IO experienced TVA at around 4,6 minutes.
· The patients randomised to humoral IO experiences TVA at around 7,0 minutes.
· The patients randomised to peripheral IV experienced TVA at around 5,8 minutes.