A prospective evaluation of tibial insertion sites for intraosseous needles to gain vascular access in Asian neonates
Issued Date
2024-01-01
Resource Type
ISSN
07438346
eISSN
14765543
Scopus ID
2-s2.0-85195277065
Journal Title
Journal of Perinatology
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Perinatology (2024)
Suggested Citation
Sengasai C., Pacharn P., Paes B., Kitsommart R. A prospective evaluation of tibial insertion sites for intraosseous needles to gain vascular access in Asian neonates. Journal of Perinatology (2024). doi:10.1038/s41372-024-02018-x Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/98725
Title
A prospective evaluation of tibial insertion sites for intraosseous needles to gain vascular access in Asian neonates
Author(s)
Author's Affiliation
Corresponding Author(s)
Other Contributor(s)
Abstract
Objectives: To determine the appropriate intraosseous (IO) needle insertion site, optimal depth and success using a drill-assisted device (DAD) versus a manually inserted needle (MIN). Methods: Computed tomography scans of neonatal cadavers were analyzed. Success was based on tibial needle tip placement within the marrow cavity and contrast media distribution. Results: Nineteen cadavers (38 tibiae) were included. The overall success rate was comparable between DAD and MIN needles, but reduced in very-low birthweight (VLBW) infants. The insertion site was consistent across birth weight groups. Contrast leakage occurred overall in 15.8% and 41.7% in VLBW infants and was insignificantly greater in DAD versus MIN needles. Minimum and maximum puncture depth was adjusted for higher BW groups. Conclusion: IO needles should be placed 2 cm below and 1–2 cm medial to the tibial tuberosity. MIN needles are preferred to minimize leakage. IO depth should be modified by birth weight.