Intraosseous Infusion Rates under High Pressure: A Cadaveric Comparison of Anatomic Sites
Abstract
When traditional vascular access methods fail, emergency access through the intraosseous (IO) route can be lifesaving. Fluids, medications, and blood components have all been delivered through these devices. We compared the performance of IO devices placed in the sternum, humeral head, and proximal tibia utilizing a fresh human cadaver model. Commercially available IO infusion devices were placed into fresh human cadavers: sternum (FAST-1), humeral head (EZ-IO), and proximal tibia (EZ-IO). Sequentially, the volume of 0.9% saline infused into each site under 300-mmHg pressure over 5 minutes was measured. Rates of successful initial IO device placement and subjective observations related to the devices were also recorded. This is the first study comparing the rate of flow at the three most clinically utilized adult IO infusion sites in an adult human cadaver model. Our results showed that the sternal site for IO access provided the most consistent and highest flow rate compared to the humeral and tibial insertion sites.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 01, 2014
- Accession Number
- ADA597324
Entities
People
- Catriona Miller
- Charles Halcome
- Jason Pasley
- Jonathan Casey
- Joseph Dubose
- Kimberly Boswell
- Michael Cotter
- Michael Matsuura
- Raymond Fang
- Stacy Shackelford
Organizations
- United States Air Force School of Aerospace Medicine