Analysis of the Results of Intraosseous Vascular Access Using Various Devices in Emergency Medical Care
- Authors: Zhirov A.V.1, Soldatov N.N.1, Minnullin I.P.2,3, Radushkevich V.L.4, Perevozchikov E.N.5, Minnullin I.R.6
-
Affiliations:
- Belgorod Region Ambulance Station
- Saint-Petersburg State Medical University named after I.P.Pavlov of Ministry of Health of the Russian Federation
- Saint-Petersburg Research Institute of Emergency Medicine named after I.I.Dzhanelidze
- RADMIRS LLC
- AVTOM-2 LLC
- Samarkand State Medical University
- Issue: No 1 (2024)
- Pages: 44-48
- Section: Clinical Aspects of Disaster Medicine
- URL: https://journals.rcsi.science/2070-1004/article/view/357940
- DOI: https://doi.org/10.33266/2070-1004-2024-1-44-48
- ID: 357940
Cite item
Full Text
Abstract
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.
About the authors
A. V. Zhirov
Belgorod Region Ambulance Station
Author for correspondence.
Email: ildar.50@mail.ru
Belgorod
N. N. Soldatov
Belgorod Region Ambulance Station
Email: ildar.50@mail.ru
Belgorod
I. P. Minnullin
Saint-Petersburg State Medical University named after I.P.Pavlov of Ministry of Health of the Russian Federation; Saint-Petersburg Research Institute of Emergency Medicine named after I.I.Dzhanelidze
Email: ildar.50@mail.ru
Dr. Sci. (Med.), Professor, Head of Department St. Petersburg
V. L. Radushkevich
RADMIRS LLC
Email: ildar.50@mail.ru
Voronezh
E. N. Perevozchikov
AVTOM-2 LLC
Email: ildar.50@mail.ru
Voronezh
I. R. Minnullin
Samarkand State Medical University
Email: ildar.50@mail.ru
Samarkand, Uzbekistan
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 10.267942587-5671-2018-22-4-52-75.
Supplementary files

