RE: Adult Intraosseous Tibia vs Sternum?

[Guest guest]

From my discussions and reviews of the literature, IO vascular access

works very well for drug delivery. IO = IV for pharmacokinetics.

There is some questions as to effectiveness for fluid therapy since

the drip rates appear to vary widely.

Have you noticed any difference in drip rates for Tibia versus Sternum??

Kramer

>In the EMS system that I am in, we use FAST1 sternal IO access and

>Tibial (Proximal and Distal) IO Access. In the near future, we will

>be trying out the EZ-IO system that is a battery powered drill that

>inserts the IO needle into the Tibia. Our medical director is very

>much in favor of the IO access in both pediatric and adult pts. For

>the most part, we have had nothing but good experiences with adult

>IOs. The information that I have reviewed shows that IO fluid

>administration is relatively safe and is just as beneficial as a

>peripherial IV.

>

>D. Stone

>

>

>

> Kramer wrote:I am PhD researcher who is

>working on a review of adult intraosseous

>vascular access.

>

>Does anyone have particularly good or bad experiences with it?

>

>

><<http://www.utmb.edu./rrl/ios/>http://www.utmb.edu./rrl/ios/><http://www.utmb.\

edu./rrl/ios/>http://www.utmb.edu./rrl/ios/

>

>thanks

>

>

>--

>************************************

> C. Kramer, Ph.D.

>Director, Resuscitation Research Laboratory

>Professor, Depts. of Anesthesiology and Physiology

>UTMB

>Galveston, TX 77555-0801

>

>direct:

>secretary ()

>mobile:

>FAX:

>gkramer@...

><http://www2.utmb.edu/rrl/>http://www2.utmb.edu/rrl/

>

>

[Guest guest]

From my discussions and reviews of the literature, IO vascular access

works very well for drug delivery. IO = IV for pharmacokinetics.

There is some questions as to effectiveness for fluid therapy since

the drip rates appear to vary widely.

Have you noticed any difference in drip rates for Tibia versus Sternum??

Kramer

>In the EMS system that I am in, we use FAST1 sternal IO access and

>Tibial (Proximal and Distal) IO Access. In the near future, we will

>be trying out the EZ-IO system that is a battery powered drill that

>inserts the IO needle into the Tibia. Our medical director is very

>much in favor of the IO access in both pediatric and adult pts. For

>the most part, we have had nothing but good experiences with adult

>IOs. The information that I have reviewed shows that IO fluid

>administration is relatively safe and is just as beneficial as a

>peripherial IV.

>

>D. Stone

>

>

>

> Kramer wrote:I am PhD researcher who is

>working on a review of adult intraosseous

>vascular access.

>

>Does anyone have particularly good or bad experiences with it?

>

>

><<http://www.utmb.edu./rrl/ios/>http://www.utmb.edu./rrl/ios/><http://www.utmb.\

edu./rrl/ios/>http://www.utmb.edu./rrl/ios/

>

>thanks

>

>

>--

>************************************

> C. Kramer, Ph.D.

>Director, Resuscitation Research Laboratory

>Professor, Depts. of Anesthesiology and Physiology

>UTMB

>Galveston, TX 77555-0801

>

>direct:

>secretary ()

>mobile:

>FAX:

>gkramer@...

><http://www2.utmb.edu/rrl/>http://www2.utmb.edu/rrl/

>

>

[Guest guest]

The sternal access works a little better, however, with a pressure infuser in

the tibial IO works almost as good...The sternal access is actually considered

equivalent to a central line so for drugs like Amiodarone, the dosage is given

as 1/2 of the normal dose.

D. Stone

Kramer wrote:

From my discussions and reviews of the literature, IO vascular access

works very well for drug delivery. IO = IV for pharmacokinetics.

There is some questions as to effectiveness for fluid therapy since

the drip rates appear to vary widely.

Have you noticed any difference in drip rates for Tibia versus Sternum??

Kramer

>In the EMS system that I am in, we use FAST1 sternal IO access and

>Tibial (Proximal and Distal) IO Access. In the near future, we will

>be trying out the EZ-IO system that is a battery powered drill that

>inserts the IO needle into the Tibia. Our medical director is very

>much in favor of the IO access in both pediatric and adult pts. For

>the most part, we have had nothing but good experiences with adult

>IOs. The information that I have reviewed shows that IO fluid

>administration is relatively safe and is just as beneficial as a

>peripherial IV.

>

>D. Stone

>

>

>

> Kramer wrote:I am PhD researcher who is

>working on a review of adult intraosseous

>vascular access.

>

>Does anyone have particularly good or bad experiences with it?

>

>

><<http://www.utmb.edu./rrl/ios/>http://www.utmb.edu./rrl/ios/><http://www.utmb.\

edu./rrl/ios/>http://www.utmb.edu./rrl/ios/

>

>thanks

>

>

>--

>************************************

> C. Kramer, Ph.D.

>Director, Resuscitation Research Laboratory

>Professor, Depts. of Anesthesiology and Physiology

>UTMB

>Galveston, TX 77555-0801

>

>direct:

>secretary ()

>mobile:

>FAX:

>gkramer@...

><http://www2.utmb.edu/rrl/>http://www2.utmb.edu/rrl/

>

>

[Guest guest]

The sternal access works a little better, however, with a pressure infuser in

the tibial IO works almost as good...The sternal access is actually considered

equivalent to a central line so for drugs like Amiodarone, the dosage is given

as 1/2 of the normal dose.

D. Stone

Kramer wrote:

From my discussions and reviews of the literature, IO vascular access

works very well for drug delivery. IO = IV for pharmacokinetics.

There is some questions as to effectiveness for fluid therapy since

the drip rates appear to vary widely.

Have you noticed any difference in drip rates for Tibia versus Sternum??

Kramer

>In the EMS system that I am in, we use FAST1 sternal IO access and

>Tibial (Proximal and Distal) IO Access. In the near future, we will

>be trying out the EZ-IO system that is a battery powered drill that

>inserts the IO needle into the Tibia. Our medical director is very

>much in favor of the IO access in both pediatric and adult pts. For

>the most part, we have had nothing but good experiences with adult

>IOs. The information that I have reviewed shows that IO fluid

>administration is relatively safe and is just as beneficial as a

>peripherial IV.

>

>D. Stone

>

>

>

> Kramer wrote:I am PhD researcher who is

>working on a review of adult intraosseous

>vascular access.

>

>Does anyone have particularly good or bad experiences with it?

>

>

><<http://www.utmb.edu./rrl/ios/>http://www.utmb.edu./rrl/ios/><http://www.utmb.\

edu./rrl/ios/>http://www.utmb.edu./rrl/ios/

>

>thanks

>

>

>--

>************************************

> C. Kramer, Ph.D.

>Director, Resuscitation Research Laboratory

>Professor, Depts. of Anesthesiology and Physiology

>UTMB

>Galveston, TX 77555-0801

>

>direct:

>secretary ()

>mobile:

>FAX:

>gkramer@...

><http://www2.utmb.edu/rrl/>http://www2.utmb.edu/rrl/

>

>

[Guest guest]

I would recommend calling Vida Care and speaking with their research personnel.

I know they have conducted flow studies with IOs and could probably provide

considerable information or at least point you in the right direction. Call

them at .

Steve Dralle

Re: Adult Intraosseous Tibia vs Sternum?

The sternal access works a little better, however, with a pressure infuser in

the tibial IO works almost as good...The sternal access is actually considered

equivalent to a central line so for drugs like Amiodarone, the dosage is given

as 1/2 of the normal dose.

D. Stone

Kramer wrote:

From my discussions and reviews of the literature, IO vascular access

works very well for drug delivery. IO = IV for pharmacokinetics.

There is some questions as to effectiveness for fluid therapy since

the drip rates appear to vary widely.

Have you noticed any difference in drip rates for Tibia versus Sternum??

Kramer

>In the EMS system that I am in, we use FAST1 sternal IO access and

>Tibial (Proximal and Distal) IO Access. In the near future, we will

>be trying out the EZ-IO system that is a battery powered drill that

>inserts the IO needle into the Tibia. Our medical director is very

>much in favor of the IO access in both pediatric and adult pts. For

>the most part, we have had nothing but good experiences with adult

>IOs. The information that I have reviewed shows that IO fluid

>administration is relatively safe and is just as beneficial as a

>peripherial IV.

>

>D. Stone

>

>

>

> Kramer wrote:I am PhD researcher who is

>working on a review of adult intraosseous

>vascular access.

>

>Does anyone have particularly good or bad experiences with it?

>

>

><<http://www.utmb.edu./rrl/ios/>http://www.utmb.edu./rrl/ios/><http://www.utmb.\

edu./rrl/ios/>http://www.utmb.edu./rrl/ios/

>

>thanks

>

>

>--

>************************************

> C. Kramer, Ph.D.

>Director, Resuscitation Research Laboratory

>Professor, Depts. of Anesthesiology and Physiology

>UTMB

>Galveston, TX 77555-0801

>

>direct:

>secretary ()

>mobile:

>FAX:

>gkramer@...

><http://www2.utmb.edu/rrl/>http://www2.utmb.edu/rrl/

>

>