[Retrospective study of 32 cases of intraosseous perfusion].
BACKGROUND
We studied all intraosseous infusions performed between 1994 and 1997 by the pediatric intensive care unit and by the pre-hospital emergency medical staff in the Hôpital d'Enfants, Toulouse, France.


METHODS
We report 32 cases of intraosseous infusions in 30 children aged 2 weeks to 9 years.


RESULTS
In our population, such a technique has been used in about 60% of all cardiopulmonary arrest, drowning or traffic accident cases. Intraosseous infusion was successful in all cases, on the first attempt in more than 80% of cases. Nine children recovered without any sequelae. No major complications have been observed.


CONCLUSIONS
Intraosseous infusion is safe, rapid and effective. It is an essential alternative route in pediatric resuscitation when no other venous access can be performed quickly. An effort must be made on behalf of its diffusion and teaching.
Claudet
I
I
Hôpital d'Enfants, Toulouse, France.
Fries
F
F
Bloom
M C
MC
Lelong-Tissier
M C
MC
D000063:Accidents, Traffic; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003422:Critical Care / Q000706:statistics & numerical data; D004059:Diffusion of Innovation; D004632:Emergency Medical Services / Q000706:statistics & numerical data; D005260:Female; D005602:France; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D017148:Infusions, Intraosseous / Q000706:statistics & numerical data; D008297:Male; D015701:Near Drowning / Q000628:therapy; D012151:Resuscitation / Q000379:methods; D012189:Retrospective Studies; D012449:Safety; D013977:Tibia
Etude rétrospective de 32 cas de perfusion intraosseuse.