Intraosseous Vascular Access (eBook)

This book summarizes nearly a century of accumulated knowledge on therapeutic intraosseous (IO) access into a concise and well-written review. The emergent infusion of fluids and medications through the IO route can be lifesaving for patients experiencing cardiac arrest, respiratory failure, and other life-threatening medical conditions. Unfortunately, many providers lack the anatomic, therapeutic, and procedural knowledge needed to deploy these devices safely and effectively in critically ill patients.

Written for a mixed audience of healthcare professionals, the book opens with an introduction to the relevant anatomy and physiology for those unfamiliar with IO infusion before moving into more advanced topics. The authors cite up-to-date literature on a variety of essential topics, including device and access site selection, decision-making, fluid infusion flow rates, limits of IO technology, compatible medications, complications, pain, and relative contraindications to IO infusion. The book closes with a discussion of the future of IO vascular access and the questions that will guide future research.

Intraosseous Vascular Access: A Guide for Healthcare Professionals is an indispensable reference for any healthcare provider, especially patient care technicians, nurses, medical students, resident physicians, practicing clinicians (including ED, ICU, and floor medicine doctors), and EMS paramedics who place and manage IO catheters.

James H. Paxton, MD MBA

Department of Emergency Medicine

Wayne State University School of Medicine

University Health Center (UHC)

Detroit, MI

Dr. Paxton received his MD and MBA degrees from the University of Cincinnati prior to completing his surgical internship and emergency medicine residency at Henry Ford Hospital (Detroit, MI) in 2011. He is an Associate Professor in the Department of Emergency Medicine, Wayne State University (WSU) School of Medicine, and Director of Clinical Research for the Department of Emergency Medicine at Detroit Receiving Hospital (DRH).

Dr. Paxton works clinically in the emergency departments at DRH and Sinai-Grace Hospital (SGH), both in Detroit, Michigan, and is a member of the core academic faculty at both sites. He has previously served as Chairman of the WSU Institutional Review Board (IRB) and is currently Chair of the national Research Committee for the Society for Academic Emergency Medicine (SAEM). He is an active clinical researcher and has served as principal investigator for numerous industry- and publicly funded trials. He is the editor of several books on emergency medicine topics and is a recognized expert and invited speaker for many regional, national, and international lectures on emergent vascular access, cardiac arrest, and emergent resuscitation.