title: [Case report - Intraosseous infusion as an alternative solution in the therapy of septicaemia in an adult].
abstract: The intraosseous access can be more often found in the guidelines and recommendations of the medical societies when an peripheral or central venous catheter cannot be established. For the adult this can mostly be found for the cardiopulmonary resuscitation or the patient with major trauma. In pediatrics and neonatology it is a reliable solution for the child in septic shock. In our case a 36 year old presented with an endocarditis and tricuspid valve insufficiency III° by known intravenous drug-abuse and septic shock. It was initially impossible to establish an adequate peripheral or central venous catheter. For this reason a humeral intraosseous access was established. After stabilizing circulatory function and volume replacement a central-venous catheter could be placed and the patient was successfully surgically sanified. We used the EZ-IO((Vidacare Corporation, San Antonio/USA). Appropriate systems should extensively be available in the clinical setting.
authors.forename: Manuel
authors.initials: M
authors.lastname: Lingner
authors.forename: Oliver
authors.initials: O
authors.lastname: Niederer
authors.forename: Jürgen
authors.initials: J
authors.lastname: Majolk
authors.forename: Karsten
authors.initials: K
authors.lastname: Krombholz
mesh_terms: D000328:Adult; D001810:Blood Volume; D002405:Catheterization, Central Venous; D000075202:Contraindications; D004696:Endocarditis / Q000150:complications; D006801:Humans; D006811:Humerus; D020896:Hypovolemia / Q000628:therapy; D017148:Infusions, Intraosseous / Q000009:adverse effects / Q000379:methods*; D008297:Male; D009104:Multiple Trauma; D018805:Sepsis / Q000150:complications / Q000628:therapy*; D014262:Tricuspid Valve Insufficiency / Q000150:complications
vernacular_title: Kasuistik - Die intraossäre Infusion als Alternative in der Sepsistherapie beim Erwachsenen.