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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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viernes, 28 de octubre de 2011

Acceso vascular intraoseo


Intraosseous Vascular Access Can Be Used Safely and Effectively,
and at a Lower Cost Than Central Venous Catheters,
for Pediatric and Adult Patients in the Hospital Setting
Annals of Emergency Medicine 2011; 58: (4)
Supplement, October 2011, Pages S311
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Every year, over 5 million central venous lines to establish vascular access are placed in patients, many in resuscitation attempts, at an average cost of just under $300 per procedure, and an average procedure time as high as 15 minutes. In comparison, intraosseous, which establishes vascular access through the inside of the bones, accomplishes the same function safely and effectively, in 90 seconds, and at a cost of just over $100 per insertion, a study recently found. The results of the study Intraosseous vascular access can be used safely and effectively, and at a lower cost than central venous catheters, for pediatric and adult patients in the hospital setting,” were presented at the American College of Emergency Physicians on October 18 by Michael Dolister, MD with research support from the Science and Clinical team from Vidacare Corporation, makers of the EZ-IO Intraosseous Infusion SystemThe study examined whether IO access enabled fluid and drug delivery in a manner comparable to central venous catheters and increased the rate of return of spontaneous circulation (ROSC). The 50-patient study found:
  • Success rate of 96% in establishing vascular access on first attempt;
  • Mean time to vascular access using IO route of 95 seconds;
  • Of patients in cardiac/arrest, 52% returned to spontaneous circulation;
  • A savings of $190 per case compared to cost of central venous lines (CVLs) (excluding ultrasound guidance and assuming no complications)