Evaluation of a new pediatric intraosseous needle insertion device for low-resource settings

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• 作者：Sara Kalechstein^a ; Ahiliyia Permual^b ; Blair M. Cameron^a ; Julia Pemberton^a ; Gwen Hollaar^c ; Deirdre Duffy^d ; Brian H. Cameron^a ; ^{cameronb@mcmaster.ca}
• 关键词：Near needle holder ; Intraosseous needle ; Guyana ; Simulation
• 刊名：Journal of Pediatric Surgery
• 出版年：2012
• 期刊代码：190_00223468
• 类别：med
• 出版时间：May, 2012
• 卷：47
• 期：5
• 页码：974-979
• 文件大小：566 K

摘要

class="h4">Background and Purpose

The Near Needle Holder (NNH) (Near Manufacturing, Camrose, Alberta, Canada) is a reusable tool to introduce a standard hollow needle for pediatric intraosseous (IO) infusion. We compared the NNH to the Cook Dieckmann (Cook Critical Care, Bloomington, IN) manual IO needle in a simulation setting.

class="h4">Methods

Study subjects were 32 physicians, nurses, and medical students participating in a trauma course in Guyana. After watching a training video and practicing under supervision, subjects were observed inserting each device into a pediatric leg model using a randomized crossover design. Outcome measures were time to successful insertion, technical complications, ease of use, and safety of each device.

class="h4">Results

The mean time for IO insertion (32 卤 13 seconds) was similar for both devices (P = .92). Subjects rated the NNH device equivalent in ease of use to the Cook IO needle but slightly lower in perceived safety to the user.

class="h4">Conclusions

After training, all subjects successfully inserted the NNH IO device in a simulation environment, and most rated it as easy to use and safe. The NNH is a significant advance because IO needles are often not available in emergency departments in developing countries. Further studies are needed to evaluate clinical effectiveness of the NNH.