Guest guest Posted April 18, 2005 Report Share Posted April 18, 2005 From the trauma list: Does anyone have experience of adult intraosseous infusion systems? Do they add significantly to the management of adult trauma patients? The manufacturers are trying to get us to buy them and I'd like to get some inputs before recommending them in the field. Thanks Rangraj Setlur Department of Anaesthesiology Armed Forces Medical College Pune India In my view, ANY interosseous system for trauma care is an instrument of the devil. I know of NO indication for such use. First, there is no need to give excessive fluids or raise the BP. Second, interosseous devices have their own set of side effects, up to and including fat emboli syndrome. In my view, interosseous gadgets are a device in search of an indication. So far, such indications have not been discovered. Mattox, MD, FACS Chair of Surgery at Baylor Just out of curiosity, are many EMS systems placing IOs in adults as a matter of routine? I have not really reviewed the science on these. Quote Link to comment Share on other sites More sharing options...
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