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comparison of umbilical venous and intraosseous access during
Conclusions For the primary hypothesis: must reject Ho IO is faster than UVC For the secondary hypothesis: must accept Ho no difference in rates of error For the observational hypothesis: must accept Ho no difference in perceived ease of use References Perlman JM, Risser R. Cardiopulmonary resuscitation in the delivery room. Arch Pediatr Adolesc Med 1995;149:20-5. Zaritsky AL, Nadkarni UM, Hickey RW, et al. PALS provider manual. Dallas (TX)7 American Heart Association/American Academy of Pediatrics; 2002 Ellemunter H, Simma B, Trawoger R, et al. Intraosseous lines in preterm and full term neonates. Arch Dis Child Fetal Neonatal Ed 1990;80:F74-5. Sapien R, Stein H, Padbury JF, Thio S, Hodge D. Intraosseous versus intravenous epinephrine infusions in lambs: Pharmacokinetics and pharmacodynamics. Ped Emerg Care 1992;8:179-183. Comparison of Umbilical Venous and Intraosseous Access During Simulated Neonatal Resuscitation Anand Rajani, M.D. Perinatal Medical Group, Inc. Fresno, California Previous affiliation: Fellow in Neonatal-Perinatal Medicine Stanford University School of Medicine Lucile Packard Children’s Hospital Palo Alto, California Disclosure I have nothing to disclose. This work was supported by the Young Investigator Award from the Neonatal Resuscitation Program. Background While 10% of newborns require some assistance to begin breathing, only 1% require extensive resuscitative efforts Less than 2 in 1000 births require administration of intravenous epinephrine1 Proficiency in rapid umbilical venous catheter (UVC) placement is difficult to maintain 1. Perlman JM, Risser R. Cardiopulmonary resuscitation in the delivery room. Arch Pediatr Adolesc Med 1995;149:20 – 5 Background Establishing umbilical venous access is frequently difficult Catheter setup Thoracic compressions Moving sterile field Data indicate that intraosseous needle (IO) placement is a safe and effective alternative Access times of 30-60 seconds in the pediatric setting2 Pharmacokinetic d
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