Efficacy of the EZ-IO<sup>® </sup>needle driver for out-of-hospital intraosseous access - a preliminary, observational, multicenter study
<p>Abstract</p> <p>Background</p> <p>Intraosseous (IO) access represents a reliable alternative to intravenous vascular access and is explicitly recommended in the current guidelines of the European Resuscitation Council when intravenous access is difficult or impossibl...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2011-10-01
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| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.sjtrem.com/content/19/1/65 |
| _version_ | 1818527493132386304 |
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| author | Latasch Leo Zacharowski Kai Lotz Gösta Schweigkofler Uwe Schalk Richard Byhahn Christian |
| author_facet | Latasch Leo Zacharowski Kai Lotz Gösta Schweigkofler Uwe Schalk Richard Byhahn Christian |
| author_sort | Latasch Leo |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Intraosseous (IO) access represents a reliable alternative to intravenous vascular access and is explicitly recommended in the current guidelines of the European Resuscitation Council when intravenous access is difficult or impossible. We therefore aimed to study the efficacy of the intraosseous needle driver EZ-IO<sup>® </sup>in the prehospital setting.</p> <p>Methods</p> <p>During a 24-month period, all cases of prehospital IO access using the EZ-IO<sup>® </sup>needle driver within three operational areas of emergency medical services were prospectively recorded by a standardized questionnaire that needed to be filled out by the rescuer immediately after the mission and sent to the primary investigator. We determined the rate of successful insertion of the IO needle, the time required, immediate procedure-related complications, the level of previous experience with IO access, and operator's subjective satisfaction with the device.</p> <p>Results</p> <p>77 IO needle insertions were performed in 69 adults and five infants and children by emergency physicians (n = 72 applications) and paramedics (n = 5 applications). Needle placement was successful at the first attempt in all but 2 adults (one patient with unrecognized total knee arthroplasty, one case of needle obstruction after placement). The majority of users (92%) were relative novices with less than five previous IO needle placements. Of 22 responsive patients, 18 reported pain upon fluid administration via the needle. The rescuers' subjective rating regarding handling of the device and ease of needle insertion, as described by means of an analogue scale (0 = entirely unsatisfied, 10 = most satisfied), provided a median score of 10 (range 1-10).</p> <p>Conclusions</p> <p>The EZ-IO<sup>® </sup>needle driver was an efficient alternative to establish immediate out-of-hospital vascular access. However, significant pain upon intramedullary infusion was observed in the majority of responsive patients.</p> |
| first_indexed | 2024-12-11T06:36:49Z |
| format | Article |
| id | doaj.art-823ac6fdaa894140be4ae5cd16902628 |
| institution | Directory Open Access Journal |
| issn | 1757-7241 |
| language | English |
| last_indexed | 2024-12-11T06:36:49Z |
| publishDate | 2011-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj.art-823ac6fdaa894140be4ae5cd169026282022-12-22T01:17:20ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412011-10-011916510.1186/1757-7241-19-65Efficacy of the EZ-IO<sup>® </sup>needle driver for out-of-hospital intraosseous access - a preliminary, observational, multicenter studyLatasch LeoZacharowski KaiLotz GöstaSchweigkofler UweSchalk RichardByhahn Christian<p>Abstract</p> <p>Background</p> <p>Intraosseous (IO) access represents a reliable alternative to intravenous vascular access and is explicitly recommended in the current guidelines of the European Resuscitation Council when intravenous access is difficult or impossible. We therefore aimed to study the efficacy of the intraosseous needle driver EZ-IO<sup>® </sup>in the prehospital setting.</p> <p>Methods</p> <p>During a 24-month period, all cases of prehospital IO access using the EZ-IO<sup>® </sup>needle driver within three operational areas of emergency medical services were prospectively recorded by a standardized questionnaire that needed to be filled out by the rescuer immediately after the mission and sent to the primary investigator. We determined the rate of successful insertion of the IO needle, the time required, immediate procedure-related complications, the level of previous experience with IO access, and operator's subjective satisfaction with the device.</p> <p>Results</p> <p>77 IO needle insertions were performed in 69 adults and five infants and children by emergency physicians (n = 72 applications) and paramedics (n = 5 applications). Needle placement was successful at the first attempt in all but 2 adults (one patient with unrecognized total knee arthroplasty, one case of needle obstruction after placement). The majority of users (92%) were relative novices with less than five previous IO needle placements. Of 22 responsive patients, 18 reported pain upon fluid administration via the needle. The rescuers' subjective rating regarding handling of the device and ease of needle insertion, as described by means of an analogue scale (0 = entirely unsatisfied, 10 = most satisfied), provided a median score of 10 (range 1-10).</p> <p>Conclusions</p> <p>The EZ-IO<sup>® </sup>needle driver was an efficient alternative to establish immediate out-of-hospital vascular access. However, significant pain upon intramedullary infusion was observed in the majority of responsive patients.</p>http://www.sjtrem.com/content/19/1/65Intraosseous accessEZ-IO<sup>® </sup>needle driverEmergency medicine |
| spellingShingle | Latasch Leo Zacharowski Kai Lotz Gösta Schweigkofler Uwe Schalk Richard Byhahn Christian Efficacy of the EZ-IO<sup>® </sup>needle driver for out-of-hospital intraosseous access - a preliminary, observational, multicenter study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Intraosseous access EZ-IO<sup>® </sup>needle driver Emergency medicine |
| title | Efficacy of the EZ-IO<sup>® </sup>needle driver for out-of-hospital intraosseous access - a preliminary, observational, multicenter study |
| title_full | Efficacy of the EZ-IO<sup>® </sup>needle driver for out-of-hospital intraosseous access - a preliminary, observational, multicenter study |
| title_fullStr | Efficacy of the EZ-IO<sup>® </sup>needle driver for out-of-hospital intraosseous access - a preliminary, observational, multicenter study |
| title_full_unstemmed | Efficacy of the EZ-IO<sup>® </sup>needle driver for out-of-hospital intraosseous access - a preliminary, observational, multicenter study |
| title_short | Efficacy of the EZ-IO<sup>® </sup>needle driver for out-of-hospital intraosseous access - a preliminary, observational, multicenter study |
| title_sort | efficacy of the ez io sup r sup needle driver for out of hospital intraosseous access a preliminary observational multicenter study |
| topic | Intraosseous access EZ-IO<sup>® </sup>needle driver Emergency medicine |
| url | http://www.sjtrem.com/content/19/1/65 |
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