A comparison of proximal tibia, distal femur, and proximal humerus infusion rates using the EZ-IO intraosseous device on the adult swine (Sus scrofa) model

Prehospital Emergency Care

Volumn 17, Issue 2, 2013, Pages 280-284

  Lairet, Julio ^a,b   Bebarta, Vikhyat ^c   Lairet, Kimberly ^d   Kacprowicz, Robert ^e   Lawler, Christopher ^c   Pitotti, Rebecca ^c   Bush, Anneke ^f   King, James ^c  

^a EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b ATLANTA VA MEDICAL CENTER   (United States)

^c SAN ANTONIO MILITARY MEDICAL CENTER   (United States)

^d John's Creek Surgery   (United States)

^e UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO   (United States)

^f 59th Medical Wing ^*  (United States)

Author keywords

intraosseous; prehospital; resuscitation; tactical combat casualty care; emergency medical services

Indexed keywords

ISOTONIC SOLUTION; CRYSTALLOID;

ANIMAL; ARTICLE; COMPARATIVE STUDY; CRYSTALLOID; EVALUATION STUDY; FEMALE; FEMUR; FLUID THERAPY; HUMERUS; INTRAOSSEOUS DRUG ADMINISTRATION; MALE; METHODOLOGY; PROSPECTIVE STUDY; SAFETY; SWINE; TIBIA; PROCEDURES;

ANIMALS; FEMALE; FEMUR; FLUID THERAPY; HUMERUS; INFUSIONS, INTRAOSSEOUS; ISOTONIC SOLUTIONS; MALE; PROSPECTIVE STUDIES; SAFETY; SWINE; TIBIA;

EID: 84874621571     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.3109/10903127.2012.755582     Document Type: Article

References (20)

1. Leidel B, Kirchhoff C, Bogner V, et al. Is the intraosseous access route fast and efficacious compared to conventional central venous catheterization in adult patients under resuscitation in the emergency department? A prospective observational pilot study. Patient Saf Surg. 2009;3:24.
2. Davidoff J, Fowler R, Gordon D, et al. Clinical evaluation of a novel intraosseous device for adults: prospective, 250-patient, multi-center trial. JEMS. 2005;30(10 suppl):20-3.
3. Frascone R, Jensen J, Kaye K, Salzman J. Consecutive field trials using two different intraosseous devices. Prehosp Emerg Care. 2007;20:164-71.
4. Brickman K, Rega P, Koltz M, Guinness M. Analysis of growth plate abnormalities following intraosseous infusion through the proximal tibial epiphysis in pigs. Ann Emerg Med. 1988;17:121-3.
5. Brickman K, Rega P, Schoolfield L, Harkins K, Weisbrode S, Reynolds G. Investigation of bone developmental and histopathologic changes from intraosseous infusion. Ann Emerg Med. 1996;28:430-5.
6. Dubick M, Pfeiffer J, Clifford C, Runyon D, Kramer G. Comparison of intraosseous and intravenous delivery of hypertonic saline/dextran in anesthetized, euvolemic pigs. Ann Emerg Med. 1992;21:498-503.
7. Jaimovich D, Shabino C, Ringer T, Peters G. Comparison of intraosseous and intravenous routes of anticonvulsant administration in a porcine model. Ann Emerg Med. 1989;18:842-6.
8. Neufeld J, Marx J, Moore E, Light A. Comparison of intraosseous, central, and peripheral routes of crystalloid infusion for resuscitation of hemorrhagic shock in a swine model. J Trauma. 1993;34:422-8.
9. Orlowski J, Porembka D, Gallagher J, Lockrem J, Van Lente F. Comparison study of intraosseous, central intravenous, and peripheral intravenous infusions of emergency drugs. Am J Dis Child. 1990;144:112-7.
10. Wright J, Christy R, Tharp R, Kalns J. Evaluation of intraosseous delivery of factor VIIa during hemorrhagic shock in the pig. Mil Med. 2009;174:119-23.
11. Spivey W, Unger H, McNamara R, LaManna M, Oh T, Lathers C. The effect of intraosseous sodium bicarbonate on bone in swine. Ann Emerg Med. 1987;16:773-6.
12. Warren DW, Kissoon N, Sommerauer JF, Rieder MJ. Comparison of fluid infusion rates among peripheral intravenous and humerus, femur, malleolus, and tibial intraosseous sites in normovolemic and hypovolemic piglets. Ann Emerg Med. 1993;22:183-6.
13. Philbeck T, Miller L, Montez D, Puga T. Hurts so good: easing IO pain and pressure. JEMS. 2010;35(9):58-69.
14. Paxton J, Knuth T, Klausner H. Proximal humerus intraosseous infusion: a preferred emergency venous access. J Trauma. 2009;67:606-11.
15. Ong M, Chan Y, Oh J, Ngo A. An observational, prospective study comparing tibial and humeral intraosseous access using the EZ-IO. Am J Emerg Med. 2009;27:8-15.
16. Lairet J, Bebarta V, Lairet K, et al. Intraosseous pressure infusion comparison using a rapid infusion device and a pressure bag in a swine model. Ann Emerg Med. 2010;56(3 suppl):S26-27.
17. Swindle MM. Swine in the Laboratory, second edition. Boca Raton, FL: CRC Press, 2007, p 25.
18. Cotton B, Jerome R, Collier B, et al. Guidelines for prehospital fluid resuscitation in the injured patient. J Trauma. 2009;67:389-401.
19. Reades R, Studnek J, Garret J, Vandeventer S, Blackwell T. Comparison of first-attempt success between tibial and humeral intraosseous insertions during out-of-hospital cardiac arrest. Prehosp Emerg Care. 2011;15:278-81.
20. Hannon J, Bossone C, Wade C. Normal physiological values for conscious pigs used in biomedical research. Lab Anim Sci. 1990;40:293-8.