IOIOIOIOIOIOIO!

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
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.


 Link to the study.

This entry was posted in Anesthesia, Emergency Medicine, Prehospital Medicine, Tech and tagged . Bookmark the permalink.

2 Responses to IOIOIOIOIOIOIO!

  1. Interesting study

    My question – what;s the better option – EZY-IO drill, the BIG or FAST IO? Or the old fashioned Cooks IOs?

    REason is, I’ve just got back to find some numpty has removed the EZY-IOs from our small rural ED…finally found a couple of BIGs stashed in the nurse managers office – they have been quarantined pending ‘training’.

    I loved my little EZY-IO. Meeting the BIG rep tomorrow for ‘training’. I thought there was some evidence to support EZy-IO over BIG?

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