Informations générales (source: ClinicalTrials.gov)
Intra-Osseous Access in Difficult Vascular Access Cases (IODA)
Interventional
N/A
Assistance Publique - Hôpitaux de Paris (Voir sur ClinicalTrials)
mars 2023
novembre 2024
29 juin 2024
Thousands of peripheral venous accesses are inserted every day all over the world. Some
of them, such as those inserted in emergency and / or in critical patients, are
absolutely vital. In the particular context of prehospital care, the rate of failure of
the first attempt to insert a peripheral venous access has been evaluated at 25%. Success
rates of successive attempts were about 75%. Nevertheless, the final success rate is
close to 100%.
Failure or delay in obtaining venous access can be life-threatening. Thus, alternatives
to peripheral venous access have been proposed including intraosseous route recently made
easier by the development of an automated puncture device (EZ-IO®), but still rarely
used, especially on conscious patient.
Currently, the place of intraosseous venous access in critical patients is not
determined.
Etablissements
| Les établissements d'Île-de-France ayant mis à jour leurs données Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| AP-HP - Hôpital Avicenne | LAPOSTOLLE Frederic | 12/04/2024 09:28:53 | Contacter | ||
| HOPITAL NOVO | RICARD-HIBON | 04/07/2024 11:04:59 | Contacter | ||
Critères
Tous
Inclusion Criteria:
1. Adult patient, in prehospital setting, without venous access and after failure of
the first attempt to place a peripheral venous access by a senior operator (doctor
or nurse) AND
2. Patient with hemodynamic failure defined as:
- systolic blood pressure (SBP) < 90 mm Hg (2 measures) or
- cardiac arrest or
3. Any situation requiring intubation
1. Adult patient, in prehospital setting, without venous access and after failure of
the first attempt to place a peripheral venous access by a senior operator (doctor
or nurse) AND
2. Patient with hemodynamic failure defined as:
- systolic blood pressure (SBP) < 90 mm Hg (2 measures) or
- cardiac arrest or
3. Any situation requiring intubation
- 1- Age < 18 years
2- Venous access already available
3- Known contra-indications to intraosseous access (i.e. bilateral lesions):
- Bone fracture
- Skin infection
- Osteoporosis
- Osteomyelitis
- Local burns
- Recent failed intraosseous attempt
- Prior surgery
- Compartment syndrome
- Every other local specific situations
4- Pregnancy woman
5- Patient with no national health or universal plan affiliation coverage