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 language | English (US) |
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Journal | Journal of Vascular Access |
DOIs | |
State | Accepted/In press - Jan 1 2018 |
Keywords
- critical care
- extravasation
- hypertonic saline
- Intraosseous
- neurologic emergency
- osmotic therapy
ASJC Scopus subject areas
- Surgery
- Nephrology