DISASTER MEDICINE No. 1 •2024
https://doi.org/10.33266/2070-1004-2024-1
Original article
Analysis of the Results of Intraosseous Vascular Access Using Various Devices in Emergency Medical Care
Zhirov A.V.1, Soldatov N.N.1, Minnullin I.P.2,3, Radushkevich V.L.3, Perevozchikov E.N.4, Minnullin I.R.6
Download the article in pdf format
1 Belgorod Region Ambulance Station, Belgorod, Russian Federation
2 Saint-Petersburg State Medical University named after I.P.Pavlov of Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation
3 Saint-Petersburg Research Institute of Emergency Medicine named after I.I.Dzhanelidze, St. Petersburg, Russian Federation
4 RADMIRS LLC, Voronezh, Russian Federation
5 AVTOM -2 LLC, Voronezh, Russian Federation
6 Samarkand State Medical University, Samarkand, Uzbekistan
UDC 616-72/616-035.1+614.88
Pp. 44-48
Summary. The purpose of the study is to analyze the effectiveness of intraosseous vascular access (IVA) using the domestic medical product “Intraosseous cannulation device UVK M” when providing emergency medical care (EMS).
Materials and methods of research. Research materials: domestic regulatory framework for the use of intraosseous vascular access; assessment of the design and operational characteristics of the domestic “UVK M intraosseous cannulation device”; experience in performing VKSD using various devices by the staff of the SMP station of the Belgorod region in 2022–2023.
Research methods – analytical method, questionnaire methods, system analysis, modeling and statistical method.
Research results and their analysis. Analysis of the experience of performing VKSD using various devices by the personnel of the SMP station of the Belgorod region in 2022–2023. showed that this technology is highly effective and in 78.7% of cases allows to achieve a positive result in the treatment of patients with critical impairment of vital functions. It is noted that the new domestically produced medical product “Intraosseous cannulation device UVK M” is not inferior to imported analogues in terms of functional and operational characteristics and meets the development trends of Russian healthcare in the areas of cost reduction and import substitution.
Key words: Disaster Medicine Service, emergency medical care, emergency situations, intraosseous vascular access, military conflicts, UVK M intraosseous cannulation device
For citation: Zhirov A.V., Soldatov N.N., Minnullin I.P., Radushkevich V.L., Perevozchikov E.N., Minnullin I.R. Analysis of the Results of Intraosseous Vascular Access Using Various Devices in Emergency Medical Care. Meditsina Katastrof = Disaster Medicine. 2024;1:44-48 (In Russ.). https://doi.org/10.33266/2070-1004-2024-1-44-48
REFERENCES
- Pavlov A. Difficult Venous Access: How to Solve the Problem? 23.05.2022 (In Russ.). [URL]: https://medvestnik.by/.
- Michael D Witting, Siamak Moayedi, Jon Mark Hirshon, Nicholas H George, Stephen M, Schenkel J. The Value of Prior Difficulty. Emerg. Med. 2019;Jul;57(1):1-5.
- Dolbneva E.L., Petrosyan E.S. Intraosseous Access is a Modern Solution to the Problem of Vascular Access in Critical Situations and During Cardiopulmonary Resuscitation. Emergency Medicine. 2012;1 (In Russ.).
- Dolbneva E.L. Intraosseous Access: Historical Background and Modern Solution to the Problem of Vascular Access in Critical Situations. Bulletin of the Association of Russian Nurses. 2015;1:36–40 (In Russ.).
- Petrosyan E.S., Dolbneva E.L. Intraosseous Access – an Instant Solution to Vascular Access in Critical Situations and CPR. Emergency Doctor. 2012;12:25–32 (In Russ.).
- Pikovskiy V.Yu. Intraosseous Administration of Drugs in the Intensive Care Complex at the Prehospital Stage. Medicine of Critical Conditions. 2013;5-6:49–53 (In Russ.).
- Davydov V.V., Tretyakova E.M. Application of Intraosseous Access at the Stages of Emergency Medical Care. Emergency Medical Care. 2021;1:13-19 (In Russ.).
- Teleflex Incorporated. https://www.teleflex.com/usa/en/product-areas/military- federal/intraosseous-access/ez-io-manual-needle/index.html (электронный ресурс 2017).
- Anson A, M.D. Vascular Access in Resuscitation: Is There a Role for the Intraosseous Route? Anesthesiology. 2014;120:1015-1031.
- Paxton J., Knuth T., Klausner H. Proximal Humerus Intraosseous Infusion: a Preferred Emergency Venous Access. J Trauma. 2009;Sep;67(3):606-11.
- Sheils M., Ross M., Eatough N., Caputo N. Intraosseous Access in Trauma by Air Medical Retrieval Teams. Air Med J. Jul-Aug 2014;33(4):161-4.
- Isayama K, Nakatani T, Tsuda M, et al. Current Status of Establishing a Venous Line in CPA Patients by Emergency Life-Saving Technicians in the Prehospital Setting in Japan and a Proposal for Intraosseous Infusion. Int J Emerg Med. 2012;5(1):2.
- Ostapchenko D.A., et al. General Resuscitation. 2021;17;4:65-76 (In Russ.).
- Seamon M.J. Journal of Trauma and Acute Care Surgery. 2007;63;1:113-120.
- Zubets А.N., Novikov А.V. Quantitative Assessment of the Value of Human Life in Russia and in the World. Finance Theory and Practice. 2018;22(4):52-75 (In Russ.). DOI 10.26794\2587-5671-2018-22-4-52-75.
The material was received 17.01.24; the article after peer review procedure 04.03.24; the Editorial Board accepted the article for publication 13.03.24