Abstract:
Objective To investigate the effect of rapid intraosseous infusion rehydration combined with deep venous catheterization in patients with acute hypovolemic shock.
Methods A retrospective analysis was conducted, which included 127 patients with hypovolemic shock treated in emergency room from March 2014 to March 2017. There are 79 males and 48 females, aged from 5 to 81 years old, average age (37.4±5.6)years. After each patient was admitted to the hospital, an intraosseous infusion channel was quickly established for rapid rehydration, followed by deep venous catheterization to continue expansion of blood volume. The control group of 116 patients with hypovolemic shock did not receive intraosseous infusion. The success rate of anti-shock treatment and the time of deep vein catheterization were compared between the two groups.
Results Of the 127 patients, 10(7.87%) were dying on admission due to severe trauma and died after being rescued, and the other 117 patients (92.13%) survived in the hypovolemic-shock period and were admitted to the relevant specialties for further treatments. There were no hematopoietic dysfunction, myelitis or catheter-related infection of the deep vein catheter in the other patients during the 6 month follow-up. The successful rate of resuscitation by intraosseous infusion was better than that of the control group. There was no significant difference in the time of deep vein catheterization.
Conclusions Combination of intraosseous infusion and deep vein catheterization is of great value forhypovolemic shock patients in the emergency.
Key words:
Hypovolemic shock,
Intraosseous infusion,
Deep vein catheterization
Jingjing Wu, Ming Sun, Xueshan Wang, Deguang Chen. Combination of intraosseous infusion and deep vein catheterization for treatment of hypovolemic shock patients in emergency department[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2018, 04(04): 217-220.