{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:14:42Z","timestamp":1777914882322,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Intraosseous (IO) access is normally reserved for emergencies and critical care conditions when venous cannulation is not possible. Nonetheless, we present a case of IO insertion to a 56-year-old man, tetraplegic for many years due to progressive spinal muscular atrophy and with refractory suffering. The IO access was used for palliative sedation with propofol in a home care setting. The patient died after 11 days of palliative care, of which the last 4 days were with palliative sedation using an IO cannula as a vascular access. No complications were noted from this route of administration. We advocate the use of IO access in the palliative care of terminal ill patients when a venous cannulation is not possible.<\/jats:p>","DOI":"10.1089\/jpm.2018.0398","type":"journal-article","created":{"date-parts":[[2019,1,11]],"date-time":"2019-01-11T14:17:36Z","timestamp":1547216256000},"page":"109-111","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Palliative Sedation via Intraosseous Vascular Access: A Safe and Feasible Way to Obtain a Vascular Access End of Life"],"prefix":"10.1177","volume":"22","author":[{"given":"Annica","family":"Mansfeld","sequence":"first","affiliation":[{"name":"Department of Palliative Care and Advanced Home Health Care, Primary Health Care Sk\u00e5ne, Lund, Sweden."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammadhossein","family":"Radafshar","sequence":"additional","affiliation":[{"name":"Department of Palliative Care and Advanced Home Health Care, Primary Health Care Sk\u00e5ne, Lund, Sweden."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hlin","family":"Thorgeirsson","sequence":"additional","affiliation":[{"name":"Department of Palliative Care and Advanced Home Health Care, Primary Health Care Sk\u00e5ne, Lund, Sweden."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl Johan","family":"H\u00f6ijer","sequence":"additional","affiliation":[{"name":"Department of Palliative Care and Advanced Home Health Care, Primary Health Care Sk\u00e5ne, Lund, Sweden."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikael","family":"Segerlantz","sequence":"additional","affiliation":[{"name":"Department of Palliative Care and Advanced Home Health Care, Primary Health Care Sk\u00e5ne, Lund, Sweden."},{"name":"Department of Clinical Sciences Lund, Faculty of Medicine, Institute for Palliative Care, Lund University, Lund, Sweden."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,11]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2009.04.054"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-016-1277-6"},{"key":"e_1_3_2_4_2","doi-asserted-by":"crossref","unstructured":"Paxton JH: Intraosseous vascular access: A review. 2012. https:\/\/doi.org\/10.1177\/1460408611430175 (last accessed July 17 2018)","DOI":"10.1177\/1460408611430175"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2125.1990.tb03755.x"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216309107024"},{"key":"e_1_3_2_7_2","first-page":"606","article-title":"Proximal humerus intraosseous infusion: A preferred emergency venous access","volume":"67","author":"Paxton JH","year":"2009","unstructured":"Paxton JH, , Knuth TE, , Klausner HA: Proximal humerus intraosseous infusion: A preferred emergency venous access. 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