{"id":582,"date":"2021-12-09T16:24:22","date_gmt":"2021-12-09T15:24:22","guid":{"rendered":"https:\/\/admsu.org\/?p=582"},"modified":"2021-12-09T16:28:37","modified_gmt":"2021-12-09T15:28:37","slug":"biblio-n4","status":"publish","type":"post","link":"https:\/\/admsu.org\/w\/biblio-n4\/","title":{"rendered":"Biblio n\u00b04"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Distal femur vs humeral or tibial IO access in adult out of hospital cardiac resuscitation<br><em>Acces intra osseux femoral distal versus hum\u00e9ral ou tibial dans les ACR extra hospitaliers<\/em><br>par Pauline LAVAGNA &amp; Pauline RAVON<\/h2>\n\n\n\n<p><a href=\"https:\/\/doi.org\/10.1016\/j.resuscitation.2021.10.041\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1016\/j.resuscitation.2021.10.041<\/a><br><\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2021\/12\/resuscitation.png\" alt=\"\" width=\"101\" height=\"116\"\/><\/figure>\n\n\n\n<p><strong>Objectif:<\/strong> \u00e9valuation du cath\u00e9ter IO f\u00e9moral au cours de la r\u00e9animation d&#8217;un ACR extra hospitalier chez l&#8217;adulte car si IO hum\u00e9ral et sternal impliquent acc\u00e9s limit\u00e9 au cours des compressions thoraciques de l\u2019ACR, si tibial suspect d&#8217;un plus faible d\u00e9bit<\/p>\n\n\n\n<p><strong>M\u00e9thode : <\/strong>Analyse descriptive d\u2019une cohorte restrospective de la SAFD EMS de tous les ACR de 2017-2018 auquel un acces IO a \u00e9t\u00e9 pos\u00e9.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"190\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2021\/12\/image.png\" alt=\"\" class=\"wp-image-585\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2021\/12\/image.png 858w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2021\/12\/image-300x66.png 300w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2021\/12\/image-768x170.png 768w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2021\/12\/image-560x124.png 560w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\"><li>utilisation du dispositif EZIO pour tous les acc\u00e8s pos\u00e9s<\/li><li>3 groupes : IO f\u00e9mur \/ hum\u00e9rus \/ tibia<\/li><\/ul>\n\n\n\n<p><strong>R\u00e9sultats : <\/strong>2145 patients<br>Taux de succ\u00e8s : 95%-95%-87% (hum\u00e9rus, f\u00e9mur, tibia)<br>Temps d&#8217;injection adr\u00e9naline identique, volume de remplissage identique<br>Choix du site f\u00e9moral distal multipli\u00e9 par 2,5 entre 2017 et 2018 (augmentation significative)<br>Diminution significative de l&#8217;usage de  l\u2019acc\u00e8s IO hum\u00e9ral proximal<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-style-default\"><img loading=\"lazy\" decoding=\"async\" width=\"738\" height=\"444\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2021\/12\/biblio4_02.png\" alt=\"\" class=\"wp-image-593\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2021\/12\/biblio4_02.png 738w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2021\/12\/biblio4_02-300x180.png 300w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2021\/12\/biblio4_02-560x337.png 560w\" sizes=\"auto, (max-width: 738px) 100vw, 738px\" \/><\/figure>\n\n\n\n<p><strong>Conclusion :<\/strong> Pas de diff\u00e9rence significative dans le taux de succ\u00e8s de la voie, et le fonctionnement.<\/p>\n\n\n\n<p><strong>Commentaire du groupe de lecture :<\/strong> pas d&#8217;AMM pour l&#8217;usage de l&#8217;IO f\u00e9morale chez l&#8217;adulte, ni de validation par le fabricant rendant difficile son application clinique actuellement.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Distal femur vs humeral or tibial IO access in adult out of hospital cardiac resuscitationAcces intra osseux femoral distal versus hum\u00e9ral ou tibial dans les ACR extra hospitalierspar Pauline LAVAGNA &amp; Pauline RAVON https:\/\/doi.org\/10.1016\/j.resuscitation.2021.10.041 Objectif: \u00e9valuation du cath\u00e9ter IO f\u00e9moral au cours de la r\u00e9animation d&#8217;un ACR extra hospitalier chez l&#8217;adulte car si IO hum\u00e9ral &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/admsu.org\/w\/biblio-n4\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;Biblio n\u00b04&nbsp;&raquo;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[73],"tags":[53,96],"class_list":["post-582","post","type-post","status-publish","format-standard","hentry","category-biblio-commentee","tag-acr","tag-intraosseux"],"_links":{"self":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/582","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/comments?post=582"}],"version-history":[{"count":10,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/582\/revisions"}],"predecessor-version":[{"id":596,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/582\/revisions\/596"}],"wp:attachment":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/media?parent=582"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/categories?post=582"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/tags?post=582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}