Peripheral venous or tibial intraosseous access for medical emergency treatment in the dental office?

• Verfasst von: Goldschalt, Christin [VerfasserIn]
• Verfasst von: Doll, Sara [VerfasserIn]
• Verfasst von: Ihle, Brit [VerfasserIn]
• Verfasst von: Kirsch, Joachim [VerfasserIn]
• Verfasst von: Mutzbauer, Till Sebastian [VerfasserIn]
• Titel: Peripheral venous or tibial intraosseous access for medical emergency treatment in the dental office?
• Verf.angabe: C. Goldschalt, S. Doll, B. Ihle, J. Kirsch and T. S. Mutzbauer
• E-Jahr: 2015
• Jahr: 08 May 2015
• Umfang: 4 S.
• Fussnoten: Gesehen am 20.07.2020
• Titel Quelle: Enthalten in: British dental journal
• Ort Quelle: London : Springer Nature, 1970
• Jahr Quelle: 2015
• Band/Heft Quelle: 218(2015,9) Article number: E16, 4 Seiten
• ISSN Quelle: 1476-5373
• DOI: doi:10.1038/sj.bdj.2015.384
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1725147564

Abstract

Background: The anterior tibia has been recommended as emergency vascular access site if the intravenous route cannot be used. Objective: This study aims to evaluate the peripheral venous and anterior tibial intraosseous puncture as alternatives for dentists, using a human and a cadaver model. Method: One group of dental students performed a venipuncture by using a standard catheter device (n = 21) on other students. Another group (n = 24) used the Vidacare EZ-IO intraosseous kit on a cadaver tibia with india ink as a tracer. Success rates as well as the time needed for a successful puncture were recorded. Results: 28.5% of venous and 83.3% of intraosseous punctures were successful. The relative risk of venous cannulation failure was 3.4 (95% CI 1.6–7.2; p = 0.0005). A successful venous access could be performed within 163 ± 23.2 seconds (mean ± SD), a tibial intraosseous access within 30 ± 27.8 seconds (p = 0.0003). Conclusions: Within the limitation of this study, it can be demonstrated that the chances to perform a successful vascular access for inexperienced dentists may be higher when using the tibial intraosseous route for emergency intravascular medication.