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) |
|---|---|
| Journal | Journal of Vascular Access |
| DOIs | |
| State | Accepted/In press - Jan 1 2018 |
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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 journal › Article
}
TY - JOUR
T1 - Use of intraosseous hypertonic saline in critically ill patients
AU - Farrokh, Salia
AU - Cho, Sung-Min
AU - Lefebvre, Austen
AU - Zink, Elizabeth K.
AU - Schiavi, Adam
AU - Puttgen, Hans Adrian
PY - 2018/1/1
Y1 - 2018/1/1
N2 - 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.
AB - 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.
KW - critical care
KW - extravasation
KW - hypertonic saline
KW - Intraosseous
KW - neurologic emergency
KW - osmotic therapy
UR - http://www.scopus.com/inward/record.url?scp=85059467978&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85059467978&partnerID=8YFLogxK
U2 - 10.1177/1129729818805958
DO - 10.1177/1129729818805958
M3 - Article
C2 - 30328363
AN - SCOPUS:85059467978
JO - Journal of Vascular Access
JF - Journal of Vascular Access
SN - 1129-7298
ER -