Palliative sedation via intraosseous vascular access : A safe and feasible way to obtain a vascular access end of life
(2019) In Journal of Palliative Medicine 22(1). p.109-111- Abstract
Intraosseous (IO) access is normally reserved for emergencies and critical care conditions when venous cannulation is not possible. Nonetheless, we present a case of IO insertion to a 56-year-old man, tetraplegic for many years due to progressive spinal muscular atrophy and with refractory suffering. The IO access was used for palliative sedation with propofol in a home care setting. The patient died after 11 days of palliative care, of which the last 4 days were with palliative sedation using an IO cannula as a vascular access. No complications were noted from this route of administration. We advocate the use of IO access in the palliative care of terminal ill patients when a venous cannulation is not possible.
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/38c9af4b-2091-45b3-b14c-a9d358e18226
- author
- Mansfeld, Annica ; Radafshar, Mohammadhossein ; Thorgeirsson, Hlin ; Hoïjer, Carl Johan and Segerlantz, Mikael LU
- organization
- publishing date
- 2019-01-11
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- home care setting, intraosseous vascular access, palliative sedation
- in
- Journal of Palliative Medicine
- volume
- 22
- issue
- 1
- pages
- 109 - 111
- publisher
- Mary Ann Liebert, Inc.
- external identifiers
-
- scopus:85059918154
- pmid:30633698
- ISSN
- 1096-6218
- DOI
- 10.1089/jpm.2018.0398
- language
- English
- LU publication?
- yes
- id
- 38c9af4b-2091-45b3-b14c-a9d358e18226
- date added to LUP
- 2020-06-22 15:22:21
- date last changed
- 2024-03-04 22:03:22
@article{38c9af4b-2091-45b3-b14c-a9d358e18226, abstract = {{<p>Intraosseous (IO) access is normally reserved for emergencies and critical care conditions when venous cannulation is not possible. Nonetheless, we present a case of IO insertion to a 56-year-old man, tetraplegic for many years due to progressive spinal muscular atrophy and with refractory suffering. The IO access was used for palliative sedation with propofol in a home care setting. The patient died after 11 days of palliative care, of which the last 4 days were with palliative sedation using an IO cannula as a vascular access. No complications were noted from this route of administration. We advocate the use of IO access in the palliative care of terminal ill patients when a venous cannulation is not possible.</p>}}, author = {{Mansfeld, Annica and Radafshar, Mohammadhossein and Thorgeirsson, Hlin and Hoïjer, Carl Johan and Segerlantz, Mikael}}, issn = {{1096-6218}}, keywords = {{home care setting; intraosseous vascular access; palliative sedation}}, language = {{eng}}, month = {{01}}, number = {{1}}, pages = {{109--111}}, publisher = {{Mary Ann Liebert, Inc.}}, series = {{Journal of Palliative Medicine}}, title = {{Palliative sedation via intraosseous vascular access : A safe and feasible way to obtain a vascular access end of life}}, url = {{http://dx.doi.org/10.1089/jpm.2018.0398}}, doi = {{10.1089/jpm.2018.0398}}, volume = {{22}}, year = {{2019}}, }