Critical Care Reviews Podcast IVIO Trial
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Nov 13, 2024 Lars Wiuff Andersen, a leading expert in pre-hospital critical care, and Mikael Fink Valentine, a researcher in cardiac arrest, delve into the findings of the groundbreaking IVIO trial. They compare intraosseous and intravenous access methods during out-of-hospital cardiac arrests. The discussion reveals similar efficacy between the two techniques, emphasizing the importance of skilled emergency teams. Insights into medication access routes and the implications of trial outcomes for future emergency practices are particularly fascinating.
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IV vs. IO trials
- Three trials in 2024 compared IV and IO access for out-of-hospital cardiac arrest.
- This question arose from debate and increased IO use, especially in Denmark (COCA trial showed 60% IO use).
Pre-hospital Team Expertise
- Denmark's pre-hospital teams include anesthesiologists trained in critical care and IOs.
- While IO access is common, there's no data on individual clinicians' IO placement experience in the IVIO trial.
IO Placement Confirmation
- Unlike IVs, IO placement success is confirmed by aspirating bone marrow.
- Extravasation can occur with both methods if the needle is misplaced.