A BRİDGE TO VENOUS INTERVENTION: INTRAOSSEOUS ACCESS

Yıl 2024, Cilt: 9 Sayı: 1, 69 - 82, 01.07.2024

Nurten Tosun

https://doi.org/10.54409/hod.1419299

Öz

Intraosseous access is a method that allows drugs, blood and fluids to be administered directly into the medullary cavity within the bone and circulated through the venous vascular network. For critically ill patients, this method not only allows for the rapid administration of life-saving treatments, but also acts as a bridge to meet the need for short-term venous intervention. With technological advances in the medical field, intraosseous access has become easier to perform and placement failure and potential complications have been significantly reduced. Thus, when intravenous access is not available in emergency situations, the intraosseous route is increasingly preferred not only in pediatric patients but also in adults. However, the potential of intraosseous access is currently underutilized. This review aims to provide comprehensive information on the anatomical and physiologic basis of intraosseous access, its mechanism of action, indications, details of the procedure and complications by reviewing the current literature. It aims to contribute to a broader understanding of this important procedure by providing a source of guidance for healthcare professionals.

Anahtar Kelimeler

Intraosseous Access, Emergency, Trauma, Resuscitation, Intravenous

VENÖZ ERİŞİME BİR KÖPRÜ: İNTRAOSSEÖZ GİRİŞİM

Öz

İntraosseöz girişim ilaç, kan ve sıvıların doğrudan kemik içindeki medüller boşluğa verilerek, venöz damar ağı ile dolaşıma katılmasını sağlayan bir yöntemdir. Bu yöntem, kritik hastalar için, hayat kurtarıcı tedavilerin hızlı uygulanmasına olanak tanımasının yanı sıra, kısa süreli venöz erişim ihtiyacını karşılamak üzere bir köprü görevi de üstlenmektedir. Tıp alanındaki teknolojik gelişmelerle birlikte, inraosseöz girişimin uygulanması daha da kolaylaşmış, yerleştirme başarısızlığı ve olası komplikasyonlar önemli ölçüde azalmıştır. Bu sayede acil durumlarda intravenöz erişim sağlanamadığında, sadece pediatrik hastalarda değil, aynı zamanda yetişkinlerde de inraosseöz yolun tercih edilmesi giderek yaygınlaşmaktadır. Ancak, mevcut durumda inraosseöz girişimin potansiyeli yeterince değerlendirilmemektedir. Bu derleme, güncel literatürdeki bilgileri inceleyerek inraosseöz girişimin anatomik ve fizyolojik temelleri ile işleyiş mekanizması, endikasyonları, uygulama sürecine ilişkin ayrıntılar ve komplikasyonları hakkında kapsamlı bir bilgi sunmayı amaçlamaktadır. Sağlık profesyonelleri için bir rehberlik kaynağı oluşturarak, bu önemli yöntemin daha geniş bir şekilde anlaşılmasına katkıda bulunmayı hedeflemektedir.

Anahtar Kelimeler

İntraosseöz Girişim, Acil Durum, Travma, Resüsitasyon, İntravenöz

Kaynakça

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