title: [The intra bone passage and nursing].
abstract: The authors confirm the utility of the intra bone passage as a means of emergency vascular access when the installation of a peripheral and/or central venous passage is difficult or impossible when attending critically ill patients as another additional technique available to Nursing when caring for a critically ill patient. From the reference articles reviewed, the authors deduce that intra bone vascular access provides a passage to the vascular system which permits rapid, easy and efficient access, especially when attending children under the age of six. The use of the intra bone passage is justified whenever medical personnel take more than 90 seconds or have three failed tries to insert a peripheral venous tube in patients who are critically ill or unstable. The anatomical zones which are the most appropriate to puncture in children are the proximal and distal part of the tibia and the distal section of the femur. This intra bone passage permits the administering of liquids and drugs, just as a peripheral venous passage does. Both the complications and the countermeasures are minimal.
authors.affiliation: Diplomado Universitario en Enfermería, Emergencias Osakidetza, Bizkaia.
authors.forename: Rafael
authors.initials: R
authors.lastname: Durán Hoyos
authors.forename: J R
authors.initials: JR
authors.lastname: Ibarretxe Marcos
authors.forename: F J
authors.initials: FJ
authors.lastname: Gil Martín
authors.forename: A
authors.initials: A
authors.lastname: Pérez Ordoñez
mesh_terms: D001842:Bone and Bones; D002405:Catheterization, Central Venous / Q000379:methods* / Q000451:nursing*; D002406:Catheterization, Peripheral / Q000379:methods* / Q000451:nursing*; D006801:Humans; D011677:Punctures