Peripheral venous or tibial intraosseous access for medical emergency treatment in the dental office?
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. Metho...
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| Main Authors: | , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
08 May 2015
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| In: |
British dental journal
Year: 2015, Volume: 218, Issue: 9 |
| ISSN: | 1476-5373 |
| DOI: | 10.1038/sj.bdj.2015.384 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1038/sj.bdj.2015.384 Verlag, lizenzpflichtig, Volltext: https://www.nature.com/articles/sj.bdj.2015.384 
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| Author Notes: | C. Goldschalt, S. Doll, B. Ihle, J. Kirsch and T. S. Mutzbauer |
| Summary: | 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. |
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| Item Description: | Gesehen am 20.07.2020 |
| Physical Description: | Online Resource |
| ISSN: | 1476-5373 |
| DOI: | 10.1038/sj.bdj.2015.384 |