Intravascular access in pediatric cardiac arrest

Douglas D Brunette, Robin Fischer

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

All cases of patients aged <48 months who presented in cardiac arrest to the Hennepin County Medical Center's emergency department (ED) during the years 1984 to 1986 were reviewed retrospectively. The ED record, initial and subsequent chest radiographs, hospital charts, and autopsy reports were analyzed. A total of 33 cases were reviewed. The average patient age was 5 months. The average time needed to establish intravascular access was 7.9 ± 4.2 minutes. Success rates were 77% for central venous catheterization, 81% for surgical vein cutdown, 83% for intraosseous infusion, and 17% for percutaneous peripheral catheterization. Percutaneous peripheral catheterization, when successful, and bone marrow needle placement were the fastest methods of obtaining intravascular access. There were no major immediate complications, and delayed complications were minimal. Attempts at peripheral intravenous catheter placement should be brief, with rapid progression to intraosseous infusion if peripheral attempts are not successful.

Original languageEnglish (US)
Pages (from-to)577-579
Number of pages3
JournalAmerican Journal of Emergency Medicine
Volume6
Issue number6
DOIs
StatePublished - Nov 1988

Keywords

  • Resuscitation
  • cardiac arrest
  • infusion
  • intraosseous infusion
  • intravenous
  • pediatrics

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