The comparison of humeral intraosseous and intravenous administration of vasopressin on return of spontaneous circulation and pharmacokinetics in a hypovolemic cardiac arrest swine model.

Journal: American journal of disaster medicine
PMID:

Abstract

INTRODUCTION: The American Heart Association (AHA) recommends intravenous (IV) or intraosseous (IO) vasopressin in Advanced Cardiac Life Support (ACLS). Obtaining IV access in hypovolemic cardiac arrest patients can be difficult, and IO access is often obtained in these life threatening situations. No studies have been conducted to determine the effects of humeral IO (HIO) access with vasopressin in the return of spontaneous circulation (ROSC). Our study compared the kinetics of vasopressin and ROSC with HIO with IV access in the hypovolemic swine model.

Authors

  • Mark H Wimmer
    Graduate Student, US Army Graduate Program in Anesthesia Nursing, Fort Sam Houston, JBSA-FSH, San Antonio, Texas.
  • Kenneth Heffner
    Graduate Student, US Army Graduate Program in Anesthesia Nursing, Fort Sam Houston, JBSA-FSH, San Antonio, Texas.
  • Michael Smithers
    Graduate Student, US Army Graduate Program in Anesthesia Nursing, Fort Sam Houston, JBSA-FSH, San Antonio, Texas.
  • Richard Culley
    Graduate Student, US Army Graduate Program in Anesthesia Nursing, Fort Sam Houston, JBSA-FSH, San Antonio, Texas.
  • Jennifer Coyner
    Director of Program, US Army Graduate Program in Anesthesia Nursing, Fort Sam Houston, JBSA-FSH, San Antonio, Texas.
  • Michael Loughren
    Department of Anesthesia and Operative Services, Madigan Army Medical Center, Tacoma, Washington.
  • Don Johnson
    Faculty Member and Co-Director of Research, US Army Graduate Program in Anesthesia Nursing, Fort Sam Houston, San Antonio, Texas.