TYPING AND SCREENING OF BLOOD FROM INTRAOSSEOUS ACCESS

被引：43

作者：

BRICKMAN, KR ^{[1
]}

KRUPP, K ^{[1
]}

REGA, P ^{[1
]}

ALEXANDER, J ^{[1
]}

GUINNESS, M ^{[1
]}

机构：

[1] TOLEDO HOSP,ST VINCENT MED CTR,TOLEDO,OH 43606

来源：

ANNALS OF EMERGENCY MEDICINE | 1992年 / 21卷 / 04期

关键词：

blood; bone marrow aspiration;

D O I：

10.1016/S0196-0644(05)82661-7

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To determine if intramedullary aspirate from intraosseous needle placement can be used as a source for evaluating blood compatibility. Design: A prospective, nonrandomized, crossover study. Setting/participants: Patients admitted to the hematology/oncology service undergoing bone marrow aspiration for medical purposes. Interventions: Patients had simultaneous samples of bone marrow aspiration from the posterior iliac crest and peripheral venous blood drawn and sent for typing and screening. Measurements and main results: The paired samples were evaluated for ABO and Rh typing as well as the presence of human leukocyte activity by evaluating the reaction strength between the marrow and venous samples. Results: No differences were seen in the reaction strength between the paired samples in any subjects for ABO and Rh typing (P = .90, yielding beta = .0523). In addition, human leukocyte activity was detected in both the marrow and venous samples in one patient. Conclusion: Bone marrow aspirates following intraosseous infusion can be used for accurate and reliable typing and screening of blood.

引用

页码：414 / 417

页数：4

共 16 条

[1] Rosetti, Thompson, Miller, Et al., Intraosseous infusion: An alternative route of pediatric intravascular access, Ann Emerg Med, 14, pp. 885-888, (1985)
[2] Orlowski, My kingdom for an intravenous line, Am J Dis Child, 138, (1984)
[3] Kanter, Zimmerman, Strauss, Et al., Pediatric emergency intravenous access, Am J Dis Child, 140, pp. 132-134, (1986)
[4] Hodge, Intraosseous infusion A review, Pediatric Emergency Care, 1, pp. 215-218, (1988)
[5] Smith, Keseg, Manley, Et al., Intraosseous infusion by prehospital personnel in critically ill pediatric patient, Ann Emerg Med, 17, pp. 491-495, (1988)
[6] Brickman, Rega, Guinness, Intraosseous infusion: Rapid vascular access in critically ill children, Emerg Med Serv, 18, pp. 56-58, (1989)
[7] Shires, Canizaro, Fluid resuscitation in the severely injured child, Surg Clin North Am, 53, (1973)
[8] Berg, Emergency infusion of catecholamine into bone marrow, Am J Dis Child, 138, pp. 810-811, (1986)
[9] Valdes, Intraosseous fluid administration in emergencies, Lancet, 1, pp. 1235-1236, (1977)
[10] Brickman, A comparative study of intraosseous intravenous and intra-arterial pH changes during hypoventilation in dogs, Annals of Emergency Medicine, 16, (1987)

← 1 2 →