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A Systematic Review Of Complications From Pediatric Intraosseous Cannulation, Jawad Bouhamdan, James Paxton, Katherine Akers, Gina Polsinelli

Medical Student Research Symposium

“A Systematic Review of Complications from Pediatric Intraosseous Cannulation”

Bouhamdan J, Polsinelli G, Akers KG, Paxton JH.

Department of Emergency Medicine, Wayne State University School of Medicine (Detroit, MI)

Introduction

Intraosseous (IO) infusion is a commonly-used method for obtaining vascular access in emergency situations. It involves insertion of a needle into the marrow cavity of long bones, with subsequent infusion of medications and fluids to achieve resuscitation. This procedure is known to be associated with certain complications. Despite the widespread continued use of IO cannulation for pediatric subjects, a high-quality systematic review of the literature on pediatric IO complications remains …

Sex-Based Differences In Depth Of Soft Tissue And Bone Diameter At The Sternal Intraosseous Catheter Insertion Site, Tristan Lemon, Ryan Kelly, Revelle Gappy, Sarah Meram, James Paxton

Medical Student Research Symposium

Background

Intraosseous (IO) catheters are commonly used to rapidly obtain vascular access for critically-ill patients in the emergency department (ED). While the sternum is a common IO insertion site for adult subjects, little is known about sex-based variation in the proper depth of insertion.

Methods

A retrospective cohort study was performed, utilizing CT scans obtained from DMC over a ten-year period (2009-2018) to estimate soft tissue depth overlying the recommended sternal IO insertion site. Depths of soft tissue from skin surface to bone surface (Measurement A) and from skin surface to the opposite bony cortex (Measurement B) were measured using …