Examinando por Materia "Blood Circulation"

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Effectiveness of intraosse vascular access in critical patients with difficult emergency venous access
(Universidad Privada Norbert Wiener, 2019-08-04) Ayala Ramos, Anibal Bruno; Mucha Berrospi, Liliana María; Uturunco Vera, Milagros Lizbeth
Objective: To systematize the evidence on the effectiveness of intraosseous vascular access in critically ill patients with difficult venous access in the Emergency Department. Materials and methods: Systematic review, using the GRADE evaluation system that identified the quality of evidence and strength of recommendation of each study in the databases: Scielo, Pubmed, Elvesier, BVS. 80% (8/10) are systematic reviews, 20% (2/10) are retrospective studies. Likewise, 80% (8/10) of the studies are of high quality of evidence and strong strength of recommendation, 20% (2/10) are of low quality of evidence and very weak strength of recommendation. 40% (4/10) of the studies were from the United States, another 30% (3/10) from the United Kingdom, 30% (3/10) from Spain. Results: All the articles reviewed systematically 100%, indicate the effectiveness of intraosseous vascular access in critical patients with difficult venous access in the Emergency Room. Conclusions: The articles reviewed show that the intraosseous route is effective, it is an alternative of choice for vascular access in critical and emergency patients since it offers safety, it is superior to the endotracheal and intramuscular routes, it can be used during patient resuscitation, it is a fast-acting route, it has few complications and it is complementary to venous vascular access when it is difficult to obtain.