Panamerican Journal of Trauma, Critical Care & Emergency Surgery

Register      Login

VOLUME 10 , ISSUE 1 ( January-April, 2021 ) > List of Articles

Original Article

Análisis y Determinación Del Conocimiento Anatomoquirurgico de Los Profesionales de La Salud Para La Realización de Acceso Vascular Intraoseo en La Urgencia

Juan P Fernandez, Carolina C Brofman, Maria S Ferrante, Agustin Algieri, Rubén D Algieri

Citation Information : Fernandez JP, Brofman CC, Ferrante MS, Algieri A, Algieri RD. Análisis y Determinación Del Conocimiento Anatomoquirurgico de Los Profesionales de La Salud Para La Realización de Acceso Vascular Intraoseo en La Urgencia. Panam J Trauma Crit Care Emerg Surg 2021; 10 (1):26-30.

DOI: 10.5005/jp-journals-10030-1314

License: CC BY-NC 4.0

Published Online: 01-04-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Introduction: Intraosseous vascular access is considered a quick, safe, and effective option in situations in which it is not possible to achieve venous access in a pre-established time, such as in severe shock or cardiorespiratory arrest. In these situations, it is difficult to place conventional vascular accesses, which is why it is extremely important to acquire knowledge related to the placement of intraosseous accesses. Materials and methods: Descriptive and cross-sectional study. Surveys of health personnel and professionals in training on knowledge of intraosseous vascular access and its use in emergencies AND emergencies. Results: Four hundred and forty-four surveys were conducted. Doctors with training 37 (8.3%) resident doctors 23 (5.1%), students of medicine 206 (46.39%), nurses 92 (20.72%), and nursing students 86 (19.36%). The range eta-Rio was 21–59 years old. 27.03% (120) know the intraosseous route as vascular access; 25% (111) have received some type of training on the placement of intraosseous accesses, with the same number of professionals who were able to list the corresponding anatomical sites. Only 13.06% (58) were able to indicate precisely the anatomical repairs necessary for their placement and, finally, only 23, 42% (104) of the respondents knew if their place of performance had been set for the placement of said route. Conclusion: Few health professionals have knowledge related to the placement of intraosseous accesses since they are scarcely promoted during undergraduate training. Intraosseous vascular access is a highly usable alternative and its training can be implemented at different levels of training, with training on its indications, contraindications, complications, and method of the placement being essential. With adequate training, intraosseous vascular access can be used as a tool in the emergency services for the initial treatment of patients with difficulties in the placement of vascular accesses.

  1. Manrique Martínez I, Pons Morales S, Casal Angulo C, et al. Acce-sos intraóseos: revisión y manejo. An Pediatr Contin 2013;11(3):167–173.
  2. Fuentes Mallozi DA. Acceso intraóseo en pediatría. Rev Hosp Jua Mex 2007;74(2):48–52.
  3. Melgarejo Ávila D, y col. Recomendación de la sociedad española de enfermería de urgencias y emergen-cias sobre inserción, cuidados, uso y mantenimiento de la vía intraósea para los profesionales de los equi-pos de urgencias y emergencias.
  4. Miguez Burgos A, Muñoz Simarro D, Tello Pérez S. Una alternativa poco habitual: la vía intraósea. Enfermería Global 2011;10(4):171–179. Disponible en:
  5. Orgiler Uranga PE, Navarro Arnedo JM, De Haro Marín S. La vía intraósea. Cuando las venas han desaparecido. Enferm Intensiva 2001;12(1):31–40. DOI: 10.1016/s1130-2399(01)78008-x.
  6. Smereka A, Stawicka I, Czyzewski L. Nurses knowledge and attitudes toward intraosseous access: Preliminary data. Am J Emerg Med 2016;34(8):1724. DOI: 10.1016/j.ajem.2016.06.031.
  7. Zieliński M, Skitek-Adamczak I, Sip M, et al. Ready-to-use devices for intraosseous injections (BIG) in the practice of emergency medical teams in the city and county of Poznań–Primary survey. Polish Ann Med 2014;21(2):126–130. DOI: 10.1016/j.poamed.2014.07.011.
  8. De Matteis F, Chiara M, Gastaldo L, et al. Intraosseous acces: nurses training needs analysis in a paediatric emergency department. Scenario 2014;31(3):42–47.
  9. Vallejo de la Paz R, Peinado Valeriano A, Jiménez J. Vía Intraósea: Análisis del conocimiento en Enferme-ría. Revista Páginasenferurgcom 2012;IV(13):17–22.
  10. Molin R, Hallas P, Brabrand M, et al. Current use of intraosseous infusion in Danish emergency departments: a cross-sectional study. Scandinavian J Trauma, Resuscitat Emerg Med 2010;18(1):1. DOI: 10.1186/1757-7241-18-37.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.