A comparative study of intraosseous access and central venous access in the early emergency treatment of critically ill patients

ObjectiveTo compare the application effects between intraosseous access and central venous access in the early emergency treatment of critically ill patients.

MethodsAccording to the random number method, 60 critically ill patients were divided into the intraosseous group and central vein group(30 cases in each group).The intraosseous access and central vein access were established for infusion or drug treatment in the intraosseous group and central vein group, respectively.The infusion-related indexes, satisfaction of operator and safety indexes were compared between the two groups.

ResultsThe first puncture success rate in intraosseous group was higher than that in central vein group(P < 0.05).The access establishment time and rescue room stay time in intraosseous group were significantly higher than those in central vein group(P < 0.01).The satisfaction of operator on equipment use and global operation in intraosseous group were significantly higher than those in central vein group(P < 0.01).There was no 1 h-access complications in the two groups.

ConclusionsThe intraosseous access was an efficient, fast and safe vascular access, which can win time for the rescue of critically ill patients.