@article{c5cdeb4123424274a8d9a79000fb795e,
title = "Use of intraosseous hypertonic saline in critically ill patients",
abstract = "Background: Rapid administration of hypertonic saline 23.4% is crucial in treatment of herniation syndromes. Hypertonic 23.4% saline must be administered via a central line. In cases where central line access is difficult to obtain and leads to delay in therapy, placement of intraosseous access can be lifesaving. Main body: The purpose of this case series is to describe the use of intraosseous administration of 23.4% saline in critically ill patients and to assess feasibility. Conclusion: Intraosseous administration of 23.4% saline in 6 adult patients with neurological emergencies was feasible and should be considered in cases where obtaining intravenous access is time consuming.",
keywords = "Intraosseous, critical care, extravasation, hypertonic saline, neurologic emergency, osmotic therapy",
author = "Salia Farrokh and Cho, {Sung Min} and Lefebvre, {Austen T.} and Zink, {Elizabeth K.} and Adam Schiavi and Puttgen, {Hans Adrian}",
note = "Funding Information: Authors would like to acknowledge Dr. Marek Mirski for his guidance and insight. A.S. and H.P. contributed equally to this work. S.F. is the first and corresponding author who participated in the design of this work as well as task assignments for group members. In addition, S.F. independently wrote the first and sixth patient cases, which she was actively involved in their treatment plan. S.C. is the second author who took care of patient case #5 and independently wrote up the case. A.L. is the third author who provided care for patient case #4 and independently wrote this case. B.Z. is the forth author who was involved in the treatment plan of patient case #2 and independently wrote up this case. A.S. is one of the senior authors who reviewed all the cases, data points included, and summarized trials discussed in the discussion section. H.P. is one of the senior authors who reviewed all cases, provided feedback on the data point needed to be included, and independently wrote case # 3, as he was involved in the patient?s care. The author(s) received no financial support for the research, authorship, and/or publication of this article. Publisher Copyright: {\textcopyright} The Author(s) 2018.",
year = "2019",
month = jul,
day = "1",
doi = "10.1177/1129729818805958",
language = "English (US)",
volume = "20",
pages = "427--432",
journal = "Journal of Vascular Access",
issn = "1129-7298",
publisher = "Wichtig Publishing",
number = "4",
}