Comparación de la proporción de éxito entre el Catéter Insyte 14® y el Din 1515x Illinois Desch® en un ambiente simulación para el acceso intraóseo en un modelo biológico.
Thesis
In emergency services, an action of paramount importance in critically ill patients is to obtain an early vascular access for the administration of drugs, since this allows a better survival of patients. In cases where venous access can not be obtained in the first minutes, an intraosseous route must be obtained; Otherwise, the mortality of these critically ill patients amounts to almost 100%. Despite these recommendations, in Colombia the use of 7 intra-osseous access is not made due to the high costs of the devices and the lack of training of the health personnel in performing intra-osseous access. Due to the above, the objective of this study was to determine the efficacy of a low-cost device for intraosseous access. Materials and methods: quantitative approach, experimental design in simulated environment with Tarso-metatarsus chicken. Results: 99% y 100% of procedures (Insyte 14 and Illinois) were successful with both catheters final efficacy (p = 1.000) and first attempt (92% vs. 92%, p=1.000). The most frequent complication was extravasation with the Illinois device (p = 0.13). The median time for intraosseous access was significantly higher with the Insyte catheter than with the Illinois catheter, being 6.6 and 4.7 seconds respectively (p = 0.001). In contrast, no significant differences were found in the number of attempts to achieve successful intraosseous access with both devices (p = 0.56) Discussion and conclusions: There is no significant difference between Insyte 14 and Illinois catheters for intraosseous access Successful in the metatarsus tarsus of the chicken in a simulated environment. However, with the illinois catheter an intraosseous access is achieved in a shorter time than with the Insyte catheter.
