NGHIÊN CỨU ÁP DỤNG KỸ THUẬT ĐẶT ĐƯỜNG TRUYỀN TRONG XƯƠNG TRONG CẤP CỨU NGỪNG TUẦN HOÀN Ở NGƯỜI LỚN

Abstract

Objectives: To evaluate the results of application of intra-tibia infusion technique in emergency circulatory arrest in adults. Subjects: 42 patients with circulatory arrest at the emergency department of Bach Mai hospital from August 2018 to September 2019. Methods: Descriptive observation. Quantitative variables are presented as mean and standard deviation; using parametric tests for normally distributed variables and non-parametric tests for non-normally distributed variables; The difference was statistically significant with p < 0.05. Qualitative variables are presented as percentage (%), the difference is statistically significant with p < 0.05. Results: The mean time of intraosseous infusion was 14.0 ± 3.9 seconds, independent of body mass index (BMI). The procedure is carried out easily with 100% of patients requiring only 1 effort. The average needle depth was 18.3 ± 4.2 mm, with a difference in needle depth between the high and low BMI groups. The average rate of infusion through the intraosseous line is 31.2 ± 9.2 ml/min under gravity and can be as high as 106 ± 22.3 ml/min using pressure dressings. Medicines and fluids used during cardiopulmonary resuscitation can be administered through the intramuscular route. Conclusions: The technique of intraosseous infusion which placing an infusion in the tibia is easily performed with a short implementation time and has few complications. This technique should be widely applied in the emergency process, especially out-of-hospital emergency.