Comparison of intraosseous and intravenous access in out-of-hospital cardiac arrest. Should emergency nursing consider intraosseous route as first option in adult patients?
DOI:
https://doi.org/10.60108/ce.43Keywords:
intraosseous infusion; intravenous infusion; emergency medical service; cardiopulmonary resuscitation; out-of-hospital cardiac arrest; emergency nursing; nursing careAbstract
Introduction: Use of intraosseous route in out-of-hospital cardiac arrest has increased in last decade. However, little is known about its benefit in some clinical outcomes: survival to hospital arrival, survival to hospital discharge, return of spontaneous circulation, and neurological recovery.
Objective: Determine if use of introsseous route as first option in out-of-hospital cardiac arrest, improves clinical outcomes in this patients, compared to intraveous route.
Method: Bibliographic review bounded in a 10 years timeframe of the scientific literature collected in CINHAL, PubMed, Web Of Science and Scopus databases.
Results: Intraosseous route allows to get a vascular access faster than intravenous route, but not enough data were available to compare differents devices and anatomical location of the punctures. However, the use of intravenous route achieves better otucomes in survival to hospital arrival, return of spontaneous circulation, and neurological recovery.
Conclusion: Use of intraosseous route as first option in out-of-hospital cardiac arrest has not been shown to improve neither the survival to hospital arrival, return of spontanous circulation, nor neurological recovery, in comparison with intravenous route.
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