Use of an intraosseous device for invasive pressure monitoring in the ED.
Venous access is essential to providing emergency care for critically ill or injured patients. Obtaining peripheral or central access can be problematic and time consuming. Intraosseous (IO) fluid administration provides similar flow rates and central circulation times compared to central lines, but use of these devices to monitor blood pressure has not been explored. We report a case of successful IO pressure (IOP) monitoring through an IO during the resuscitation of a 31-year-old male. This is the first report of monitoring IOP in a clinical setting and comparing it to traditional measures of central pressure.
Department of Emergency Medicine, Regions Hospital, St. Paul, MN, USA.
Ralph J
RJ
Frascone
Regions Hospital, Critical Care Research Center, St. Paul, MN, USA. Electronic address: Joshua.g.salzman@healthpartners.com.
Joshua G
JG
Salzman
Department of Emergency Medicine, Regions Hospital, St. Paul, MN, USA.
Eric V
EV
Ernest
Department of Emergency Medicine, Regions Hospital, St. Paul, MN, USA.
Aaron M
AM
Burnett
D000328:Adult; D001794:Blood Pressure; D015924:Blood Pressure Monitors; D004636:Emergency Service, Hospital; D017809:Fatal Outcome; D006801:Humans; D017148:Infusions, Intraosseous / Q000379:methods*; D008297:Male; D008991:Monitoring, Physiologic / Q000295:instrumentation / Q000379:methods*; D058687:Out-of-Hospital Cardiac Arrest / Q000503:physiopathology / Q000628:therapy