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Intraosseous infusion (IO) is the process of injecting medication, fluids, or blood products directly into the bone marrow; [1] this provides a non-collapsible entry point into the systemic venous system. [2] The intraosseous infusion technique is used to provide fluids and medication when intravenous access is not
A third, smaller incision is made to insert a thoracoscope (small camera) used to help guide the bar. Taller patients, older patients, or patients requiring extensive correction may receive two or more bars. All bars may be placed through two incisions or additional incisions may be made. The bar is then flipped, and the sternum pops out.
The intraosseous space was first discovered as a non-collapsible vein in 1922 when C.K. Drinker, MD, of Harvard University examined the circulation of the sternum and confirmed that fluids infused into the bone marrow were quickly absorbed into the central circulation, providing a viable alternative to failed vascular access with traditional methods.
Median sternotomy is a type of surgical procedure in which a vertical inline incision is made along the sternum, after which the sternum itself is divided using a sternal saw. [1] This procedure provides access to the heart and lungs for surgical procedures such as heart transplant , lung transplant , corrective surgery for congenital heart ...
The sternum is a narrow, flat bone, forming the middle portion of the front of the chest. The top of the sternum supports the clavicles (collarbones) and its edges join with the costal cartilages of the first two pairs of ribs. The inner surface of the sternum is also the attachment of the sternopericardial ligaments. [2]
The parasternal lymph nodes (or sternal glands) are placed at the anterior ends of the intercostal spaces, by the side of the internal thoracic artery.. They derive afferents from the mamma; from the deeper structures of the anterior abdominal wall above the level of the umbilicus; from the upper surface of the liver through a small group of glands which lie behind the xiphoid process; and ...
Entry to the body cavity for the Norwood procedure is gained by a vertical incision above the sternum. Separation of the sternum is necessary. This surgery is complex and may vary slightly depending on the diagnosis and overall condition of the heart. The surgery on the heart can be divided into two main steps. [19]
Osseointegration is also defined as: "the formation of a direct interface between an implant and bone, without intervening soft tissue". [1]An osseointegrated implant is a type of implant defined as "an endosteal implant containing pores into which osteoblasts and supporting connective tissue can migrate". [2]