Summary of evidence on bone marrow cavity infusion in adult cardiac arrest patients
Objective:To retrieve the relevant evidence and recent progress of bone marrow cavity infusion therapy for adult cardiac arrest patients,and to summarize the evidence,and then to provide a reference basis for standardizing clinical practice and optimizing the establishment of vascular access in adult cardiac arrest patients.Methods:A systematic search of national and international databases for all evidence on the treatment of adult cardiac arrest patients with bone marrow cavity infusion was conducted with a time frame of construction to May 1,2023,and the quality of the included literature was independently evaluated,and the evidence was extracted and summarized.Results:A total of 11 papers were included,including 2 guidelines,3 expert consensus papers,2 systematic evaluations,1 evidence summary and 3 RCTs.Eighteen pieces of evidence were summarized in six areas:personnel organization and management,timing of creation and removal,puncture site,pain management,prevention of complications,and effectiveness of tube placement and infusion.Conclusion:This study summarizes the evidence on bone marrow cavity infusion in adult cardiac arrest patients,which can provide a reference basis for healthcare professionals to use bone marrow cavity infusion correctly,but the evidence should also be applied in a targeted manner in clinical practice,so as to improve the efficacy and safety of bone marrow cavity infusion therapy in cardiac arrest patients.