ArticleCureus2025
A Comparison of the Tibial Intraosseous Route With the Peripheral Intravenous Route for Fluid Resuscitation of Patients in Hypovolemic Shock.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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Abstract
Aim and objectives Vascular access via the intraosseous (IO) route is increasingly utilized in patients with hypovolemic shock, especially when peripheral intravenous (IV) access is challenging due to collapsed veins. The present study aims to compare the tibial intraosseous route with the peripheral intravenous route for fluid resuscitation in adults with hypovolemic shock (Class >=II) in an emergency setting. The primary objective of this study is to compare the first attempt success rate and time taken to establish initial vascular access via the IO and IV routes. The secondary objective of this study is to compare the ease of establishment of the two routes using a five-point Likert scale. Material and methods The study included adult patients (18-65 years old) in hypovolemic shock (Class >=II) presenting to the emergency department, who required immediate vascular access. The patients were randomized to one of the two routes of vascular access: tibial intraosseous or peripheral intravenous. Outcome variables included the first attempt success rate, time taken to establish vascular access, and the ease of establishing the IO route (using the EZ-IO
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