Evolution of the use of intraosseous vascular access in prehospital advanced cardiopulmonary resuscitation: The IOVA-CPR study.
cardiac arrest
intraosseous
out-of-hospital care
resuscitation
venous access
Journal
International journal of nursing practice
ISSN: 1440-172X
Titre abrégé: Int J Nurs Pract
Pays: Australia
ID NLM: 9613615
Informations de publication
Date de publication:
26 Feb 2024
26 Feb 2024
Historique:
revised:
05
12
2023
received:
31
01
2022
accepted:
26
01
2024
medline:
27
2
2024
pubmed:
27
2
2024
entrez:
27
2
2024
Statut:
aheadofprint
Résumé
Obtaining vascular access is crucial in critically ill patients. The EZ-IO® device is easy to use and has a high insertion success rate. Therefore, the use of intraosseous vascular access (IOVA) has gradually increased. We aim to determine how IOVA was integrated into management of vascular access during out-of-hospital cardiac arrest (OHCA) resuscitation. Analysing the data from the OHCA French registry for events occurring between 1 January 2013 and 15 March 2021, we studied: demography, circumstances of occurrence and management including vascular access, delays and evolution. The primary outcome was the rate of IOVA implantation. Among the 7156 OHCA included in the registry, we analysed the 3964 (55%) who received cardiopulmonary resuscitation. The vascular access was peripheral in 3122 (79%) cases, intraosseous in 775 (20%) cases and central in 12 (<1%) cases. The use of IOVA has increased linearly (R The insertion rate of IOVA significantly increased over the studied period, to reach 30% of all vascular access in the management OHCA patients. The place of the intraosseous route in the strategy of venous access during the management of prehospital cardiac arrest has yet to be determined.
Types de publication
Journal Article
Langues
eng
Pagination
e13244Informations de copyright
© 2024 The Authors. International Journal of Nursing Practice published by John Wiley & Sons Australia, Ltd.
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