Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Intraosseous access: comparison between the four principals NIO, BIG, EZ-IO and Jamshidi |
|---|---|
| Name | Boni Alberto |
| Supervisor(s) | Bergamini Barbara Maria, Marasco Rolando |
| Academic Year | 2017/18 |
| Thesis type | Research thesis |
Abstract
In this thesis we wanted to investigate the main characteristics and peculiarities of the intraosseous access such as complications, contraindications, insertion times, anatomical sites, the rate of infusion, the success rate of insertion at the first attempt and the pain caused by infusion and insertion. Subsequently, the intraosseous devices most used in the extra-hospital emergency and the emergency room were analyzed, both for adults and children. Four intraosseous devices were then compared, placing particular attention on the pediatric patient, with the aim of identifying a better supervision of the others.
To do this, the scientific literature was revised through research on databases such as PubMed, Cochrane Library, UpToDate, CINAHL, Google Scholar and reference texts using keywords: "intraosseous access / route", "intraosseous infusion / methods", " intraosseous route / child "," intraosseous access / pediatric "," intraosseous infusion / fluid therapy "," intraosseous / adverse effects "," intraosseous / history "," IO access / EZ-IO "," intraosseous needle / NIO ", "IO access / BIG", "IO / military", "intraosseous needle / Jamshidi".
The scientific evidence examined is in favor of the use of intraosseous access, especially in the emergency / urgency, and emphasizes its importance and effectiveness. The most used device is the EZ-IO, although the latest studies show that NIO is more effective. The BIG device and the manual Jamshidi needle are used less frequently. The comparison between the principals highlighted the importance of the intraosseous access, which is not only an alternative to the venous route but is perfectly equivalent and efficient to the latter when it is difficult to find a venous access to infuse fluids and administer medicines quickly and safely.