Objective To analyze the risk factors of extravasation in emergency patients with intraosseous infusion,to provide early assessment and screening of extravasation in patients with intraosseous infusion. Methods We retrospectively analyzed the data of 358 patients with bone marrow cavity infusion in three hospitals in Zhejiang Province from January 2017 and December 2020. The patients were divided into two groups according to whether there was any extravasation. Compared the differences of clinical indicators in two groups,analyzed independent factors of extravasation in patients with intraosseous infusion by Logistic regression model. Results A total of 15 patients（4.18%） were found to have extravasation. Multivariate Logistic regression analysis showed that Body Mass Index（BMI）,pain grade,transport times,intraosseous retention time were independent risk factors for extravasation. The position of catheterization and previous experience of catheterization were independent protective factors（P< 0.05）. Conclusion Nurses should pay attention to obese patients, and patients with intraosseous tube in the humeral site and obvious pain, and reduce moving the patients,try to arrange experienced nurses to guide the rescue.
YANG Minfei
,
WANG Weifen
,
WANG Haihong
,
CHEN Bin
,
ZHAN Yue
,
YAO Xiaoyue
. Risk factors of extravasation in patients with intraosseous infusion[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022
, 3(2)
: 140
-144
.
DOI: 10.3761/j.issn.2096-7446.2022.02.008
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