Use of intraosseous hypertonic saline in critically ill patients

Salia Farrokh, Sung-Min Cho, Austen Lefebvre, Elizabeth K. Zink, Adam Schiavi, Hans Adrian Puttgen

Research output: Contribution to journalArticle

Abstract

Background: Rapid administration of hypertonic saline 23.4% is crucial in treatment of herniation syndromes. Hypertonic 23.4% saline must be administered via a central line. In cases where central line access is difficult to obtain and leads to delay in therapy, placement of intraosseous access can be lifesaving. Main body: The purpose of this case series is to describe the use of intraosseous administration of 23.4% saline in critically ill patients and to assess feasibility. Conclusion: Intraosseous administration of 23.4% saline in 6 adult patients with neurological emergencies was feasible and should be considered in cases where obtaining intravenous access is time consuming.

Original languageEnglish (US)
JournalJournal of Vascular Access
DOIs
StateAccepted/In press - Jan 1 2018

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Critical Illness
Emergencies
Therapeutics

Keywords

  • critical care
  • extravasation
  • hypertonic saline
  • Intraosseous
  • neurologic emergency
  • osmotic therapy

ASJC Scopus subject areas

  • Surgery
  • Nephrology

Cite this

Use of intraosseous hypertonic saline in critically ill patients. / Farrokh, Salia; Cho, Sung-Min; Lefebvre, Austen; Zink, Elizabeth K.; Schiavi, Adam; Puttgen, Hans Adrian.

In: Journal of Vascular Access, 01.01.2018.

Research output: Contribution to journalArticle

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