Canalización intraósea con los dispositivos BIG y EZ-IO. Revisión sistemática

Itxaso Goñi Bilbao; Lorena Sánchez Solana; Celia Ferrando Martínez; Miriam Infante Garza; José Luis Díaz Agea; César Leal Costa

Itxaso Goñi Bilbao Hospital Universitario Miguel Servet. Zaragoza, España
Lorena Sánchez Solana Hospital Universitario Miguel Servet. Zaragoza, España
Celia Ferrando Martínez Hospital Universitario Miguel Servet. Zaragoza, España
Miriam Infante Garza Hospital Universitario Miguel Servet. Zaragoza, España
José Luis Díaz Agea Hospital Universitario Miguel Servet. Zaragoza, España
César Leal Costa Hospital Universitario Miguel Servet. Zaragoza, España

Palabras clave: EZ-IO, BIG, Acceso intraóseo, Dispositivo

Key-words: EZ-IO, BIG, Intraosseous access, Device

Resumen

Introducción: La importancia de un acceso vascular en pacientes críticos, junto a cierta dificultad para canalizar una vía venosa periférica, crea la necesidad de alternativas más rápidas y seguras; siendo la vía intraósea la más indicada, permitiendo administrar fluidos y fármacos, y extraer muestras de médula ósea. Objetivo: Comparar el uso de los dispositivos intraóseos BIG y EZ-IO. Metodología: Para esta revisión sistemática, se realizó una búsqueda en varias bases de datos, utilizando la estrategia de búsqueda [“Bone Injection Gun” OR “EZ-IO” OR (“intraosseous access” and device)]; incluyéndose los artículos publicados en los últimos cinco años, disponibles en español y/o inglés, a los que se tuviese acceso a texto completo. Resultados y conclusiones: No existe evidencia científica contundente para afirmar la superioridad del dispositivo BIG frente a EZ-IO, ni viceversa. Los resultados analizados reafirman la vía intraósea como alternativa rápida y segura para acceder al torrente sanguíneo en pacientes críticos.

Abstract

Introduction: The importance of vascular access in critically ill patients, beside the difficulty of channeling a peripheral venous route, creates the necessity for faster and safer alternatives; the intraosseous route is the most indicated. It allows administer fluids and drugs, and draw bone marrow samples. Objective: To compare the use of BIG and EZ-IO introsseous devices. Methodology: To make this systematic review, it has been made a searching in several databases, using the search strategy [“Bone Injection Gun” OR “EZ-IO” OR (“intraosseous access” and device)]. Articles published in last five years, available articles in English and Spanish, and with access to full text, were included. Results and conclusions: Convincing scientific evidence doesn’t exist to assert the BIG device superiority against EZ-IO, neither EZ-IO higher over BIG. The analyzed results reassert the intraosseous route like fast and secure alternative to access to vascular torrent in critically ill patients.

Bibliografía

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Canalización intraósea con los dispositivos BIG y EZ-IO. Revisión sistemática

Intraosseous canalization with BIG and EZ-IO devices. Systematic review

Resumen

Abstract

Bibliografía