Andrzej Kurowski1, Dariusz Timler2, Togay Evrin3, Łukasz Szarpak4. 1. Department of Anesthesiology, Institute of Cardiology, Warsaw, Poland. Electronic address: andrzej.kurowski987@gmail.com. 2. Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz, Lodz, Poland. Electronic address: sor55@wp.pl. 3. Darica Farabi Public Hospital, Kocaeli, Turkey. Electronic address: togay.evrin1970@gmail.com. 4. Department of Cardiosurgery and Transplantology, Institute of Cardiology, Warsaw, Poland. Electronic address: Lukasz.szarpak@gmail.com.
Abstract
BACKGROUND: The study was designed to investigate the success rate and time of insertion intraosseous access during simulated resuscitation. MATERIAL AND METHODS: This was a randomized crossover study involving 107 paramedics. They were timed from start of insertion attempt to successful insertion and asked to score perceived difficulty of intraosseus access devices. Bone injection gun (BIG) (WaisMed Company, Houston, TX), EZ-IO (Vidacare, Shavano Park, TX) and Jamshidi (Carefusion, San Diego, CA) were used in this study. RESULTS:Success rates for first intraosseus iniecition attempt were higher for the BIG (91.59%) than EX-IO (82.66%) or Jamshidi (47.66%). Mean procedure time was 2.0±0.7 vs 3.1±0.9 minutes for EZ-IO vs 4.2±1.0 minutes for Jamshidi. CONCLUSIONS: The use of BIG is associated with excellent success rates for insertion and appears easier to use than EZ-IO or Jamshidi Intraosseus Needle. Further work to evaluate the use of the intraosseus access device in the emergency medical services is required.
RCT Entities:
BACKGROUND: The study was designed to investigate the success rate and time of insertion intraosseous access during simulated resuscitation. MATERIAL AND METHODS: This was a randomized crossover study involving 107 paramedics. They were timed from start of insertion attempt to successful insertion and asked to score perceived difficulty of intraosseus access devices. Bone injection gun (BIG) (WaisMed Company, Houston, TX), EZ-IO (Vidacare, Shavano Park, TX) and Jamshidi (Carefusion, San Diego, CA) were used in this study. RESULTS: Success rates for first intraosseus iniecition attempt were higher for the BIG (91.59%) than EX-IO (82.66%) or Jamshidi (47.66%). Mean procedure time was 2.0±0.7 vs 3.1±0.9 minutes for EZ-IO vs 4.2±1.0 minutes for Jamshidi. CONCLUSIONS: The use of BIG is associated with excellent success rates for insertion and appears easier to use than EZ-IO or Jamshidi Intraosseus Needle. Further work to evaluate the use of the intraosseus access device in the emergency medical services is required.
Authors: Karol Bielski; Lukasz Szarpak; Jacek Smereka; Jerzy R Ladny; Steve Leung; Kurt Ruetzler Journal: Eur J Pediatr Date: 2017-05-12 Impact factor: 3.183
Authors: Niels Hammer; Robert Möbius; André Gries; Björn Hossfeld; Ingo Bechmann; Michael Bernhard Journal: PLoS One Date: 2015-12-02 Impact factor: 3.240
Authors: Lukasz Szarpak; Zenon Truszewski; Jacek Smereka; Paweł Krajewski; Marcin Fudalej; Piotr Adamczyk; Lukasz Czyzewski Journal: Medicine (Baltimore) Date: 2016-05 Impact factor: 1.889