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Characteristics of Children Who Undergo Intraosseous Needle Placement.

Publication ,  Journal Article
Reuter-Rice, K; Patrick, D; Kantor, E; Nolin, C; Foley, J
Published in: Advanced emergency nursing journal
October 2015

Intraosseous (IO) access is a standard of care for pediatric emergencies in the absence of conventional intravenous access. Intraosseous needles provide access for resuscitation fluids and medications and are often placed in the emergency department. However, there are no studies to date that describe the characteristics of pediatric IO needle recipients or their dispositions and outcomes. This study examined the characteristics and disposition of children following IO needle placement by prehospital and emergency room teams before being transported to a children's hospital. We conducted a retrospective descriptive analysis of pediatric patients who had an IO needle placed as a part of their transport care. Data was extracted from a Level 1 trauma tertiary care children's hospital transport database from 1993 to 2009. We measured diagnosis, insertion reason, insertion time (day vs. night shift), complications, and disposition of patients after IO needle placement. There were 143 eligible patients in the study; 65% were males. Mean patient's age was 1.2 years (range: 0.01-13 years). Intraosseous needles were placed most often for patients with cardiopulmonary compromise. Of the 143 patients transported, 53% (n = 76) were placed for no intravenous access and 34% (n = 49) were placed for nonperfusing rhythm. The majority of the IO needles were placed during the daytime (0700-1900 hr), and most patients experienced no complications (n = 67; 47%). However, of those who experienced a complication, 27% were due to infiltration of the IO needle. Of those admitted to hospital, 58% (n = 83) were ultimately discharged home. Intraosseous access provides a safe and reliable method for rapidly achieving a route for administration of medications, fluids and blood products. It is a lifesaving measure with most IO needles successfully placed by referring facilities prior to transport, with few reported complications.

Duke Scholars

Published In

Advanced emergency nursing journal

DOI

EISSN

1931-4493

ISSN

1931-4485

Publication Date

October 2015

Volume

37

Issue

4

Start / End Page

301 / 307

Related Subject Headings

  • Trauma Centers
  • Retrospective Studies
  • Needles
  • Male
  • Infusions, Intraosseous
  • Infant
  • Humans
  • Hospitals, Pediatric
  • Female
  • Emergency Medical Services
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Reuter-Rice, K., Patrick, D., Kantor, E., Nolin, C., & Foley, J. (2015). Characteristics of Children Who Undergo Intraosseous Needle Placement. Advanced Emergency Nursing Journal, 37(4), 301–307. https://doi.org/10.1097/tme.0000000000000077
Reuter-Rice, Karin, Dana Patrick, Elizabeth Kantor, Cathy Nolin, and Jennifer Foley. “Characteristics of Children Who Undergo Intraosseous Needle Placement.Advanced Emergency Nursing Journal 37, no. 4 (October 2015): 301–7. https://doi.org/10.1097/tme.0000000000000077.
Reuter-Rice K, Patrick D, Kantor E, Nolin C, Foley J. Characteristics of Children Who Undergo Intraosseous Needle Placement. Advanced emergency nursing journal. 2015 Oct;37(4):301–7.
Reuter-Rice, Karin, et al. “Characteristics of Children Who Undergo Intraosseous Needle Placement.Advanced Emergency Nursing Journal, vol. 37, no. 4, Oct. 2015, pp. 301–07. Epmc, doi:10.1097/tme.0000000000000077.
Reuter-Rice K, Patrick D, Kantor E, Nolin C, Foley J. Characteristics of Children Who Undergo Intraosseous Needle Placement. Advanced emergency nursing journal. 2015 Oct;37(4):301–307.

Published In

Advanced emergency nursing journal

DOI

EISSN

1931-4493

ISSN

1931-4485

Publication Date

October 2015

Volume

37

Issue

4

Start / End Page

301 / 307

Related Subject Headings

  • Trauma Centers
  • Retrospective Studies
  • Needles
  • Male
  • Infusions, Intraosseous
  • Infant
  • Humans
  • Hospitals, Pediatric
  • Female
  • Emergency Medical Services