Comparison of routes for achieving parenteral access with a focus on the management of patients with Ebola Virus Disease

Added March 4, 2015

Citation: Ker K, Tansley G, Beecher D, Perner A, Shakur H, Harris T, Roberts I. Comparison of routes for achieving parenteral access with a focus on the management of patients with Ebola virus disease. Cochrane Database of Systematic Reviews. 2015(2).

Summary: This new review compares the different ways to give fluids to people in situations where it is impossible to maintain adequate hydration simply by giving fluids orally. Collectively, these alternatives are termed parenteral access. They include getting fluids into a vein (intravenously), into bone marrow (intraosseously), into fatty tissue under the skin (subcutaneously) or into the abdominal space (intraperitoneally).

Giving fluid intravenously is a commonly used method, but in patients with Ebola this can be problematic. Obtaining venous access can be difficult in very dehydrated patients, and this is made even worse in situations where caregivers are obliged to wear protective suits, and where there is a risk of transmission of the virus, such as Ebola. This reviews helps health workers caring for patients with EVD to know the advantages and disadvantages of the other ways to give fluids, so they can decide which is the most suitable for their patients.


Disclaimer: This summary has been written by staff and volunteers of Evidence Aid in order to make the content of the original document accessible to decision makers who are searching for the available evidence on Ebola but may not have the time, initially, to read the original report in full. This summary is not intended as a substitute for the medical advice of physicians, other health workers, professional associations, guideline developers, or national governments and international agencies. If readers of this summary think that the evidence that is presented within it is relevant to their decision-making they should refer to the content and details of the original article, and the advice and guidelines offered by other sources of expertise, before making decisions. Evidence Aid cannot be held responsible for any decisions made about Ebola on the basis of this summary alone.