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- Title
Where Is IO in Your Vascular Access Algorithm?
- Authors
Macygin, Kim Marie C.
- Abstract
As a critical care nurse for almost 20 years, I have seen patients die for lack of timely vascular access to deliver fluids, blood, and medications. I have seen countless patients suffer, ironically enough, through multiple attempts to gain peripheral IV access for delivery of pain medication meant to ease their suffering. And I have encountered countless clinicians with preconceived, dated, and inaccurate notions of what intraosseous (IO) has to offer and how it can be used appropriately and effectively. Many myths exist about IO: in what circumstances it should be used, how painful it is, infection rates, how quickly access can be established, and who can do it. IO access, even though it has been available for decades, historically has had limited use and mostly for emergent resuscitation in very select patients. Although there is no single vascular access device that can work for all patients all the time, IO access offers an additional tool in the clinician's toolbox for difficult vascular access (DVA) that can help ensure the right patient receives the right access in the right time for the right circumstance. The IO route could and should be considered in many more circumstances than we routinely use it now. This presentation will assess the participants' current experience with IO access, addressing their fears and misperceptions about IO access. It will review the evolution of IO access and use. Several commercially available devices with be shown. Case studies will be used to highlight how the obese, septic, neurological emergency, and/or trauma patient benefits from early IO consideration. IO access is fast, efficient, safe, versatile, and easy. Vascular access nurses need to include this access device in their algorithm for DVA solutions.
- Subjects
ALGORITHMS; BLOOD vessels; CRITICAL care medicine; INTENSIVE care nursing; INTRAVENOUS therapy; MEDICAL equipment; INTRAOSSEOUS infusions
- Publication
Vascular Access, 2014, Vol 8, Issue 1, p18
- ISSN
1913-6692
- Publication type
Article