Use of intra-osseous access in adults: a systematic review
2016年4月14日 · Background Indications for intra-osseous (IO) infusion are increasing in adults requiring administration of fluids and medications during initial resuscitation. However, this route is rarely used nowadays due to a lack of knowlegde and training. We reviewed the current evidence for its use in adults requiring resuscitative procedures, the contraindications of the technique, …
Lidocaine can reduce the pain of intra-osseous fluid infusion
2016年6月20日 · Based on those findings the review concluded that injecting lidocaine both before and after flushing an IO needle is an effective method of reducing the pain of fluid infusion. In clinical practice, using lidocaine for IO insertion in conscious patients takes little time and is unlikely to cause harm.
2016年3月31日 · In this setting, procedure for IO infusion is shorter and has a higher success rate on first attempt than other routes [2, 3]. Moreover, in patients experiencing cardiac arrest, the procedure does not require stopping cardiopulmonary resuscita-tion and therefore may improve patient survival. IO infusion is a rapid and safe method for obtaining
Clinical review: Vascular access for fluid infusion in children
2004年6月3日 · New IO device simplifies vascular access in severe cases. J Emerg Med Serv JEMS 2003, 28: 97-98. PubMed Google Scholar Calkins MD, Fitzgerald G, Bentley TB, Burris D: Intraosseous infusion devices: a comparison for potential use in special operations. J Trauma 2000, 48: 1068-1074.
Adverse events associated with administration of vasopressor ...
2021年4月16日 · Background It is unclear whether vasopressors can be safely administered through a peripheral intravenous (PIV). Systematic review and meta-analysis methodology was used to examine the incidence of local anatomic adverse events associated with PIV vasopressor administration in patients of any age cared for in any acute care environment. Methods …
Do prolonged infusions of β-lactam antibiotics improve outcomes …
2024年11月21日 · Although only clinical cure was positive result in the continuous vs intermittent infusion group (55.7% vs 50.0%, respectively; P < 0.001), the absolute 90-days mortality (24.9% vs 26.8%, respectively), hospital mortality (23.3% vs 25.0%, respectively) and ICU mortality (17.1% vs 18.4%, respectively) were lower in the continuous infusion group ...
Ketamine versus etomidate as an induction agent for tracheal …
2024年2月17日 · Background Tracheal intubation is a high-risk intervention commonly performed in critically ill patients. Due to its favorable cardiovascular profile, ketamine is considered less likely to compromise clinical outcomes. This meta-analysis aimed to assess whether ketamine, compared with other agents, reduces mortality in critically ill patients undergoing intubation. …
Effective hemodynamic monitoring | Critical Care | Full Text
2022年9月28日 · Hemodynamic monitoring is the centerpiece of patient monitoring in acute care settings. Its effectiveness in terms of improved patient outcomes is difficult to quantify. This review focused on effectiveness of monitoring-linked resuscitation strategies from: (1) process-specific monitoring that allows for non-specific prevention of new onset cardiovascular insufficiency …
Real life use of vasopressin in patients with cardiogenic shock: a ...
2023年7月19日 · In the intensive care unit (ICU), vasopressin is administered as a second-line vasopressor. Although vasopressin has been extensively studied in patients with septic shock, there is a scarcity of data regarding its use in patients with cardiogenic shock.
Optimal glycemic control in neurocritical care patients
2012年10月30日 · Currently, the major issue in glycemic control in neurocritical care patients is that tight glycemic control (target range of 80 to 110 mg/dL) using intensive insulin therapy is associated with higher rates of hypoglycemia without an improvement in survival rate. The review by Kramer and colleagues in this issue of Critical Care confirms these data but provides solid …