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Le cathéter intraosseux – revue sommaire des évidences et des controverses

Dans cette capsule, nous explorons de manière sommaire les données sur l’utilisation des cathéters intraosseux. Nous discutons notamment des données entourant le taux de réussite, les sites d’insertion, les indications et la comparaison des pronostics entre l’utilisation des IV vs les IO. 

Objectif de la capsule:
Informer les auditeurs sur la science récente entourant le placement des cathéters intraosseux

Suivre ce cours

Ce cours a été conçu par Maxime Robitaille-Fortin et Louis-Félix Poulin-Moore et révisé par Pierre baril le 8 octobre 2025.

Bibliographie

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A Serious Adult Intraosseous Catheter Complication and Review of the Literature.
Greenstein YY,Koenig SJ,Mayo PH,Narasimhan M, Critical care medicine 2016 Sep 44(9) e904-9
pubmed
An observational, prospective study comparing tibial and humeral intraosseous access using the EZ-IO.
Ong MEH,Chan YH,Oh JJ,Ngo AS, The American journal of emergency medicine 2009 Jan 27(1) 8-15
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Comparison of first-attempt success between tibial and humeral intraosseous insertions during out-of-hospital cardiac arrest.
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pubmed
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Helm M,Haunstein B,Schlechtriemen T,Ruppert M,Lampl L,Gäßler M, Resuscitation 2015 Mar 88() 43-7
pubmed
Intraosseous access in the obese patient: assessing the need for extended needle length.
Kehrl T,Becker BA,Simmons DE,Broderick EK,Jones RA, The American journal of emergency medicine 2016 Sep 34(9) 1831-4
pubmed
Intraosseous infusion rates under high pressure: a cadaveric comparison of anatomic sites.
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Salzman JG,Loken NM,Wewerka SS,Burnett AM,Zagar AE,Griffith KR,Bliss PL,Peterson BK,Ward CJ,Frascone RJ, Prehospital emergency care 2017 Sep-Oct 21(5) 567-574
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Emergency intraosseous access in a helicopter emergency medical service: a retrospective study.
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Comparison of two different intraosseous access methods in a physician-staffed helicopter emergency medical service - a quality assurance study.
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pubmed
Drug routes in out-of-hospital cardiac arrest: A summary of current evidence.
Hooper A,Nolan JP,Rees N,Walker A,Perkins GD,Couper K, Resuscitation 2022 Dec 181() 70-78
pubmed
Systematic overview of intraosseous access versus intravenous delivery for emergency resuscitation: Efficacy and quality of existing evidence.
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pubmed
Time to epinephrine in out-of-hospital cardiac arrest: A retrospective analysis of intraosseous versus intravenous access.
Ross EM,Mapp J,Kharod C,Wampler DA,Velasquez C,Miramontes DA, American journal of disaster medicine 2016 Spring 11(2) 119-123
pubmed
A Randomized Trial of Drug Route in Out-of-Hospital Cardiac Arrest.
Couper K,Ji C,Deakin CD,Fothergill RT,Nolan JP,Long JB,Mason JM,Michelet F,Norman C,Nwankwo H,Quinn T,Slowther AM,Smyth MA,Starr KR,Walker A,Wood S,Bell S,Bradley G,Brown M,Brown S,Burrow E,Charlton K,Claxton Dip A,Dra'gon V,Evans C,Falloon J,Foster T,Kearney J,Lang N,Limmer M,Mellett-Smith A,Miller J,Mills C,Osborne R,Rees N,Spaight RES,Squires GL,Tibbetts B,Waddington M,Whitley GA,Wiles JV,Williams J,Wiltshire S,Wright A,Lall R,Perkins GD,PARAMEDIC-3 Collaborators, The New England journal of medicine 2025 Jan 23 392(4) 336-348
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Intraosseous versus intravenous vascular access during out-of-hospital cardiac arrest: a randomized controlled trial.
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pubmed
Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest.
Vallentin MF,Granfeldt A,Klitgaard TL,Mikkelsen S,Folke F,Christensen HC,Povlsen AL,Petersen AH,Winther S,Frilund LW,Meilandt C,Holmberg MJ,Winther KB,Bach A,Dissing TH,Terkelsen CJ,Christensen S,Kirkegaard Rasmussen L,Mortensen LR,Loldrup ML,Elkmann T,Nielsen AG,Runge C,Klæstrup E,Holm JH,Bak M,Nielsen LR,Pedersen M,Kjærgaard-Andersen G,Hansen PM,Brøchner AC,Christensen EF,Nielsen FM,Nissen CG,Bjørn JW,Burholt P,Obling LER,Holle SLD,Russell L,Alstrøm H,Hestad S,Fogtmann TH,Buciek JUH,Jakobsen K,Krag M,Sandgaard M,Sindberg B,Andersen LW, The New England journal of medicine 2025 Jan 23 392(4) 349-360
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Intraosseous and intravenous vascular access during adult cardiac arrest: A systematic review and meta-analysis.
Couper K,Andersen LW,Drennan IR,Grunau BE,Kudenchuk PJ,Lall R,Lavonas EJ,Perkins GD,Vallentin MF,Granfeldt A,International Liaison Committee on Resuscitation Advanced Life Support Task Force, Resuscitation 2025 Feb 207() 110481
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