[The intraosseous infusion in adult]

Ann Fr Anesth Reanim. 2013 May;32(5):347-54. doi: 10.1016/j.annfar.2013.02.024. Epub 2013 May 10.
[Article in French]

Abstract

Intraosseous infusion is an old knowledge, abandoned in the 1950s in favor of the peripheral vein, and it was essentially described in pediatrics and military medicine. Since 2005, this way is experiencing a resurgence of interest in emergency medicine particularly in adults after the failure's installation of a peripheral vein in order not to waste the time of care and administration of treatment. New devices that allow intraosseous infusion are currently used in humans. We propose to review the different kind of catheters used, to know the main technical characteristics, indications, contraindications and potential complications. We propose a comparison with the peripheral vein and a comparison between the different catheters.

Publication types

  • Review

MeSH terms

  • Adult
  • Bone and Bones / blood supply
  • Catheters / economics
  • Contraindications
  • Emergencies
  • Equipment Design
  • Fractures, Bone
  • Humans
  • Hypertonic Solutions
  • Infusions, Intraosseous* / adverse effects
  • Infusions, Intraosseous* / economics
  • Infusions, Intraosseous* / instrumentation
  • Infusions, Intraosseous* / methods
  • Infusions, Intraosseous* / trends
  • Needles / economics
  • Organ Specificity
  • Osteitis
  • Surgical Instruments / economics

Substances

  • Hypertonic Solutions