The Medical Letter on Drugs and Therapeutics
FROM
ISSUE
1393
Intraosseous Infusion for Rapid Vascular Access
Subscribers: Log in to read full article.  Not a subscriber?  Subscribe or purchase article.

The intramedullary venous plexus of cancellous bone marrow does not collapse in patients who are dehydrated or in shock. Intraosseous (IO) infusion through an intramedullary cannula has effectively replaced central venous catheterization (CVC) as the method of choice for rapid vascular access in both adults and children when peripheral veins are inaccessible.1,2 Absorption of fluids into the central circulation with IO infusion is equivalent to absorption from IV sites, and IO access can be achieved more rapidly and with a higher success rate than CVC.3

EFFICACY OF IO INFUSION DEVICES — All of the devices in Table 1 can provide vascular access in less than 2 minutes. In one study with the FAST 1 sternal IO device, the average time to access was 67 seconds.4 The average time for peripheral ... more      

The Medical Letter is a subscriber-funded nonprofit organization that publishes critical appraisals of new prescription drugs and comparative reviews of drugs for common diseases.

Would you like to read the rest of this article?  Gain access below.

Subscribe
Subscriptions to The Medical Letter on Drugs and Therapeutics include:
  • Print version published and mailed biweekly (26 issues/year)
  • Unlimited online access to current and past issues (1988 - present)
  • Mobile App for iOS, Android, and Kindle Fire
  • FREE online per issue CME/CE
Purchase this article:
Title: Intraosseous Infusion for Rapid Vascular Access
Article code: 1393b
 Electronic, downloadable article - $45
Gain access through your organization
Ask your librarian to consider an Institutional Subscription to The Medical Letter.
Recommend to your librarian