https://doi.org/10.4081/scenario.2025.617

Use of intraosseous access in clinically deteriorated patients admitted in general wards: a scoping review protocol

Vol. 42 No. 2 (2025)
Submitted: 6 December 2024
Accepted: 9 March 2025
Published: 9 June 2025
Intraosseous access, general wards, clinically deteriorated patient, nursing
Abstract Views: 270
PDF: 93
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Authors

Nunzia Montesanto
nunzia.montesanto@unipr.it
https://orcid.org/0009-0004-8985-2484
Department of Medicine and Surgery, University of Parma, Parma; Local Health Unit Agency Piacenza, Piacenza, Italy.
Emilio Caldarera
Department of Medicine and Surgery, University of Parma, Parma, Italy.
Enrico Lucenti
https://orcid.org/0000-0001-8507-8699
Local Health Unit Piacenza, Piacenza, Italy.
Maria Chiara Bassi
Local Health Unit - Scientific Hospitalization and Treatment Institutes of Reggio Emilia, Reggio Emilia, Italy.
Nicola Bonasera Vincenti
https://orcid.org/0009-0003-2281-9201
SIMED - Italian Society of Medicine and Scientific Disclosure, Parma, Parma, Italy.
Luca Gambolò
https://orcid.org/0000-0002-6468-9471
SIMED - Italian Society of Medicine and Scientific Disclosure, Parma, Parma, Italy.
Giuseppe Stirparo
SIMED - Italian Society of Medicine and Scientific Disclosure, Parma, Parma, Italy.
Antonio Bonacaro
Department of Medicine and Surgery, University of Parma, Parma, Italy.
Massimo Guasconi
Department of Medicine and Surgery, University of Parma, Parma; Local Health Unit Piacenza, Piacenza, Italy.

Introduction: Intraosseous (IO) access is a non-collapsible vascular access technique primarily used in emergency and urgent care settings. However, its utilisation and potential usefulness in general hospital wards remain unclear. The aim of this scoping review protocol is to map the available evidence on the use of IO access in hospitalised patients experiencing sudden clinical deterioration. The aim is to investigate what evidence is available on intraosseous access in patients with clinical deterioration admitted to ordinary wards. Materials and Methods: the databases PubMed, CINAHL, Scopus, Embase, Web of Science, Cochrane, Open Dissertations, and CENTRAL will be searched. The review will include quantitative, qualitative, and mixed-method studies, literature reviews, grey literature, as well as guidelines and recommendations from scientific societies. The review will be conducted following JBI guidelines, and the selection process will be illustrated using the PRISMA flow diagram. The findings will be presented descriptively, incorporating graphs and figures where appropriate, in accordance with PRISMA-ScR guidelines. Conclusions: this scoping review may identify gaps in the existing literature and contribute to defining future research directions.

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How to Cite

Montesanto, N., Caldarera, E., Lucenti, E., Bassi, M. C., Bonasera Vincenti , N., Gambolò, L., … Guasconi, M. (2025). Use of intraosseous access in clinically deteriorated patients admitted in general wards: a scoping review protocol. Scenario® - Il Nursing Nella Sopravvivenza, 42(2). https://doi.org/10.4081/scenario.2025.617
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