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Palliative sedation via intraosseous vascular access : A safe and feasible way to obtain a vascular access end of life

Mansfeld, Annica ; Radafshar, Mohammadhossein ; Thorgeirsson, Hlin ; Hoïjer, Carl Johan and Segerlantz, Mikael LU (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.

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author
; ; ; and
organization
publishing date
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}},
}