RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57703847
T1 Chapter 37. Intracardiac Injection
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57703847
RD 2024/04/19
AB The  practice  of  intracardiac  injection  originated  in  the  1800s.  It  was  quite  commonly  performed  throughout  the  1960s,  as  it  was  thought  to  be  the  most  expeditious  route  of  drug  delivery  during  a  cardiac  arrest.1,2  By  the  mid-1970s,  the  practice  of  intracardiac  injection  declined.  Safer  and  simpler  routes  of  medication  administration  (i.e.,  intravenous,  endotracheal,  and  intraosseous)  became  available.  Experimental  data  suggested  that  there  was  no  advantage  to  intracardiac  injection  over  intravenous  administration  of  medications.  Cardiopulmonary  resuscitation  (CPR)  must  be  interrupted  to  perform  an  intracardiac  injection.  In  difficult  patients  or  in  inexperienced  hands,  the  time  required  for  this  procedure  may  be  too  prolonged.  Finally,  many  serious  complications  may  occur  as  a  result  of  an  intracardiac  injection.2