Intraosseous Access to the Circulatory System: An Under-Appreciated Option for Rapid Access
In many emergency situations rapid vascular access is a priority, particularly in cases involving haemodynamic compromise. Traditional vascular access through the use of an intravenous cannula, although the preferred first line method, can in certain circumstances have a high rate of failure. A stud...
Saved in:
Published in: | Journal of perioperative practice Vol. 25; no. 7-8; pp. 140 - 143 |
---|---|
Main Author: | |
Format: | Journal Article |
Language: | English |
Published: |
London, England
SAGE Publications
01-07-2015
Association for Perioperative Practice |
Subjects: | |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Abstract | In many emergency situations rapid vascular access is a priority, particularly in cases involving haemodynamic compromise. Traditional vascular access through the use of an intravenous cannula, although the preferred first line method, can in certain circumstances have a high rate of failure. A study by Minville et al (2006) showed that the success rate of first attempt venous cannulation can be as low as 76%. Repeated attempts at venous cannulation in patients with difficult vascular access wastes valuable time which in some situations could prove fatal. |
---|---|
AbstractList | In many emergency situations rapid vascular access is a priority, particularly in cases involving haemodynamic compromise. Traditional vascular access through the use of an intravenous cannula, although the preferred first line method, can in certain circumstances have a high rate of failure. A study by Minville et al (2006) showed that the success rate of first attempt venous cannulation can be as low as 76%. Repeated attempts at venous cannulation in patients with difficult vascular access wastes valuable time which in some situations could prove fatal. 21 references In many emergency situations rapid vascular access is a priority, particularly in cases involving haemodynamic compromise. Traditional vascular access through the use of an intravenous cannula, although the preferred first line method, can in certain circumstances have a high rate of failure. A study by Minville et al (2006) showed that the success rate of first attempt venous cannulation can be as low as 76%. Repeated attempts at venous cannulation in patients with difficult vascular access wastes valuable time which in some situations could prove fatal. |
Author | Benson, G |
Author_xml | – sequence: 1 givenname: G surname: Benson fullname: Benson, G email: gareth.benson@wales.nhs.uk |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26312264$$D View this record in MEDLINE/PubMed |
BookMark | eNqNkTtPwzAUhS1URFvgHyBkiYUlYDu-ic1WVTwqIVUCOjFEjuNAUBsH2xn673HVAlIHxHSH-51zH2eMBq1tDUJnlFxRmufXNAfCQUgKhAEheSIIHKARAwpJLrkcoNEGSTbMEI29_yAEWMrlERqyLKWMZXyEXmdtcMp6b2zv8URr4z0OFod3g6eN0_1SBevW-Hntg1nd4EmLF21lXDLpOmd0o4Kp8LwLjW1xbR1-Ul1T7XxO0GGtlt6c7uoxWtzdvkwfksf5_Ww6eUx0ynlIKs4ELWtZizSXAFKCKGMnNazURpQi7loLxUBnGZBaZ1oBkbUqucryVAuZHqPLrW_n7GdvfChWjddmuVTt5qqC5pRErQD-D5QImpGUi4he7KEftndtPKRgBGgmIgOR4ltKu_hEZ-qic81KuXVBSbHJqdjPqYg5Rdn5zrwvV6b6EX0HEwG6Bbx6M7-T_zT9AvzAm10 |
Cites_doi | 10.1017/S0265021506000202 10.1016/j.jemermed.2009.02.004 10.1080/10903120590901208 10.1016/S0196-0644(94)70053-2 10.4037/ccn2011615 10.1016/j.crad.2010.12.001 10.1177/0310057X0803600120 10.1016/S0196-0644(85)80639-9 10.1136/jramc-153-04-20 10.1136/bmj.1.4335.181 10.1016/j.jemermed.2009.04.054 10.1152/ajplegacy.1922.62.1.1 10.1016/j.resuscitation.2010.08.021 10.1097/PEC.0b013e318177a6fe |
ContentType | Journal Article |
Copyright | 2015 Association for Perioperative Practice |
Copyright_xml | – notice: 2015 Association for Perioperative Practice |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 4T- ASE FPQ K6X K9. NAPCQ 7X8 |
DOI | 10.1177/1750458915025007-805 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef Docstoc British Nursing Index British Nursing Index (BNI) (1985 to Present) British Nursing Index ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Premium MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Premium British Nursing Index Docstoc MEDLINE - Academic |
DatabaseTitleList | British Nursing Index ProQuest Health & Medical Complete (Alumni) MEDLINE - Academic CrossRef MEDLINE |
Database_xml | – sequence: 1 dbid: ECM name: MEDLINE url: https://search.ebscohost.com/login.aspx?direct=true&db=cmedm&site=ehost-live sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Nursing |
EISSN | 2515-7949 |
EndPage | 143 |
ExternalDocumentID | 10_1177_1750458915025007_805 26312264 10.1177_1750458915025007-805 |
Genre | Journal Article |
GroupedDBID | --- -TM 04C 0R~ 29L 36B 3EH 3V. 53G 54M 6PF 7RV 7X7 88E 8AO 8FI 8FJ 8FW 8R4 8R5 AABMB AACMV AADUE AAEWN AAHPS AAKGS AARIX AATAA AAWTL ABAFQ ABCCA ABFWQ ABJNI ABKRH ABLUO ABPNF ABRHV ABUWG ABVFX ABXGC ACARO ACDXX ACFEJ ACGFS ACLFY ACOFE ACOXC ACROE ACSIQ ACUAV ACUIR ACXKE ACXMB ADBBV ADRRZ AESZF AEWDL AEWHI AEXNY AFKRA AFKRG AFMOU AFQAA AFUIA AGKLV AGNHF AIOMO AJUZI AJXAJ ALMA_UNASSIGNED_HOLDINGS ALTZF AN0 ANDLU ARTOV B8M BBRGL BDDNI BENPR BKEYQ BKIIM BKSCU BNQBC BPACV BPHCQ BSEHC BVXVI BWJAD CCPQU CDWPY CFDXU DC- DF. DOPDO DV7 EBS EJD EX3 F5P FHBDP FYUFA GROUPED_SAGE_PREMIER_JOURNAL_COLLECTION HMCUK IAO IHR INH INR ITC J8X JCYGO K.F M1P M4V NAPCQ PQQKQ PROAC PSQYO Q2X S0X SAFTQ SCNPE SFC SHG SPQ SPV UKHRP WOW ZONMY ZPPRI ZRKOI ZSSAH ACJER ALKWR CGR CUY CVF ECM EIF H13 NPM AAYXX ADVBO CITATION 4T- ASE FPQ K6X K9. 7X8 |
ID | FETCH-LOGICAL-c344t-d4281bf9f8379559958bc343e2bce8b8631f8a25c6650fc6ca509fab4a673c893 |
IEDL.DBID | ARPSY |
ISSN | 1750-4589 |
IngestDate | Thu Oct 24 23:17:15 EDT 2024 Fri Oct 25 00:06:38 EDT 2024 Mon Nov 04 10:42:30 EST 2024 Fri Nov 22 01:49:43 EST 2024 Sat Sep 28 08:49:01 EDT 2024 Tue Jul 16 20:52:19 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 7-8 |
Keywords | Intraosseous Resuscitation Vascular access |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c344t-d4281bf9f8379559958bc343e2bce8b8631f8a25c6650fc6ca509fab4a673c893 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1 |
PMID | 26312264 |
PQID | 2051684835 |
PQPubID | 27835 |
PageCount | 4 |
ParticipantIDs | proquest_miscellaneous_1710665854 proquest_miscellaneous_1708160348 proquest_journals_2051684835 crossref_primary_10_1177_1750458915025007_805 pubmed_primary_26312264 sage_journals_10_1177_1750458915025007_805 |
PublicationCentury | 2000 |
PublicationDate | 20150700 2015 Jul-Aug 2015-07-00 20150701 |
PublicationDateYYYYMMDD | 2015-07-01 |
PublicationDate_xml | – month: 7 year: 2015 text: 20150700 |
PublicationDecade | 2010 |
PublicationPlace | London, England |
PublicationPlace_xml | – name: London, England – name: England – name: Harrogate |
PublicationTitle | Journal of perioperative practice |
PublicationTitleAlternate | J Perioper Pract |
PublicationYear | 2015 |
Publisher | SAGE Publications Association for Perioperative Practice |
Publisher_xml | – name: SAGE Publications – name: Association for Perioperative Practice |
References | Horton, Beamer 2008; 24 Fowler, Pierce, Nazeer 2008; 52 Luck, Haines, Mull 2010; 39 Drinker, Drinker, Lund 1922; 62 Cooper, Mahoney, Hodgetts, Mellor 2007; 153 Miller, Kuhn, Von Hoff 2005; 9 Orlowski 1984; 138 Rosetti, Thompson, Miller 1985; 14 Day 2011; 31 Davidoff, Fowler, Gordon 2005; 30 Constantino, Kirtz, Satz 2010; 39 Wayne 2006; 6 Leider, Kirchhoff, Bognor 2011; 83 Bailey 1944; 1 Alawi, Morrison, Fraser 2008; 36 Minville, Pianezza, Asehnoune 2006; 23 Beckett, Oakes, Proctor 2011; 66 Deakin, Nolan, Soar 2010; 81 Simmons, Johnson, Perkin, van Stralen 1994; 23 bibr4-1750458915025007-805 bibr18-1750458915025007-805 Fowler R.L. (bibr11-1750458915025007-805) 2008; 52 bibr5-1750458915025007-805 bibr8-1750458915025007-805 bibr19-1750458915025007-805 bibr10-1750458915025007-805 Wayne M.A. (bibr21-1750458915025007-805) 2006; 6 Deakin C.D. (bibr9-1750458915025007-805) 2010; 81 bibr3-1750458915025007-805 Davidoff J. (bibr7-1750458915025007-805) 2005; 30 Miller L.J. (bibr15-1750458915025007-805) 2005; 9 bibr16-1750458915025007-805 Orlowski J.P. (bibr17-1750458915025007-805) 1984; 138 American Heart Association (bibr2-1750458915025007-805) 1988 bibr1-1750458915025007-805 bibr12-1750458915025007-805 Leider B.A. (bibr13-1750458915025007-805) 2011; 83 bibr14-1750458915025007-805 bibr6-1750458915025007-805 bibr20-1750458915025007-805 |
References_xml | – volume: 153 start-page: 314 issue: 4 year: 2007 end-page: 16 article-title: Intra-osseous access (EZ-IO®) for resuscitation: UK military combat experience publication-title: Journal of the Royal Army Medical Corps contributor: fullname: Mellor – volume: 9 start-page: 102 year: 2005 article-title: Does IO equal IV? publication-title: Prehospital Emergency Care contributor: fullname: Von Hoff – volume: 83 start-page: 40 year: 2011 end-page: 45 article-title: Comparison of intraosseous versus central venous vascular access in adults under resuscitation in the emergency department with inaccessible peripheral veins publication-title: Resuscitation contributor: fullname: Bognor – volume: 23 start-page: 363 year: 1994 end-page: 66 article-title: Intraosseous extravasation complication rates publication-title: Annals of Emergency Medicine contributor: fullname: van Stralen – volume: 14 start-page: 885 year: 1985 end-page: 88 article-title: Intraosseous infusion: an alternative route of pediatric intravascular access publication-title: Annals of Emergency Medicine contributor: fullname: Miller – volume: 81 start-page: 1219 year: 2010 end-page: 451 article-title: European Resuscitation Council guidelines for resuscitation publication-title: Resuscitation contributor: fullname: Soar – volume: 62 start-page: 1 year: 1922 end-page: 92 article-title: The circulation in the mammalian bone marrow publication-title: American Journal of Physiology contributor: fullname: Lund – volume: 66 start-page: 456 issue: 5 year: 2011 end-page: 58 article-title: Over the limit: use of peripheral venous cannulae above the manufacturer's recommended flow rates publication-title: Clinical Radiology contributor: fullname: Proctor – volume: 6 start-page: 41 issue: 2 year: 2006 end-page: 45 article-title: Adult intraosseous access: an idea whose time has come Israeli publication-title: Journal of Emergency Medicine contributor: fullname: Wayne – volume: 36 start-page: 110 issue: 1 year: 2008 end-page: 12 article-title: Insulin infusion via an intraosseous needle in diabetic ketoacidosis publication-title: Anaesthesia and Intensive Care Journal contributor: fullname: Fraser – volume: 31 start-page: 76 issue: 2 year: 2011 end-page: 89 article-title: Intraosseous devices for intravascular access in adult trauma patients publication-title: Critical Care Nurse contributor: fullname: Day – volume: 52 start-page: 152 issue: 4 year: 2008 article-title: Powered intraosseous insertion provides safe and effective vascular access for emergency patients publication-title: Annals of Internal Medicine contributor: fullname: Nazeer – volume: 39 start-page: 462 year: 2010 end-page: 67 article-title: Ultrasound guided peripheral venous access vs the external jugular vein as the initial approach to the patient with difficult vascular access publication-title: Journal of Emergency Medicine contributor: fullname: Satz – volume: 30 start-page: 20 year: 2005 end-page: 23 article-title: Clinical evaluation of a novel intraosseous device for adults publication-title: Journal of Emergency Medical Services contributor: fullname: Gordon – volume: 39 start-page: 468 issue: 4 year: 2010 end-page: 75 article-title: Intraossious access publication-title: Journal of Emergency Medicine contributor: fullname: Mull – volume: 138 start-page: 803 issue: 9 year: 1984 article-title: My kingdom for an intravenous line publication-title: American Journal of Diseases of Children contributor: fullname: Orlowski – volume: 1 start-page: 181 year: 1944 end-page: 12 article-title: Bone marrow as a site for the reception of infusions, transfusions and anaesthetic agents publication-title: British Medical Journal contributor: fullname: Bailey – volume: 24 start-page: 347 issue: 6 year: 2008 end-page: 50 article-title: Powered intraosseous insertion provides safe and effective vascular access for pediatric emergency patients publication-title: Pediatric Emergency Care contributor: fullname: Beamer – volume: 23 start-page: 594 year: 2006 end-page: 97 article-title: Prehospital intravenous line placement assessment in the French emergency system: a prospective study publication-title: European Journal of Anaesthesiology contributor: fullname: Asehnoune – ident: bibr16-1750458915025007-805 doi: 10.1017/S0265021506000202 – volume: 138 start-page: 803 issue: 9 year: 1984 ident: bibr17-1750458915025007-805 publication-title: American Journal of Diseases of Children contributor: fullname: Orlowski J.P. – ident: bibr5-1750458915025007-805 doi: 10.1016/j.jemermed.2009.02.004 – volume: 9 start-page: 102 year: 2005 ident: bibr15-1750458915025007-805 publication-title: Prehospital Emergency Care doi: 10.1080/10903120590901208 contributor: fullname: Miller L.J. – ident: bibr20-1750458915025007-805 doi: 10.1016/S0196-0644(94)70053-2 – ident: bibr8-1750458915025007-805 doi: 10.4037/ccn2011615 – ident: bibr18-1750458915025007-805 – ident: bibr4-1750458915025007-805 doi: 10.1016/j.crad.2010.12.001 – volume: 52 start-page: 152 issue: 4 year: 2008 ident: bibr11-1750458915025007-805 publication-title: Annals of Internal Medicine contributor: fullname: Fowler R.L. – ident: bibr1-1750458915025007-805 doi: 10.1177/0310057X0803600120 – ident: bibr19-1750458915025007-805 doi: 10.1016/S0196-0644(85)80639-9 – ident: bibr6-1750458915025007-805 doi: 10.1136/jramc-153-04-20 – volume-title: Textbook of pediatric advanced life support year: 1988 ident: bibr2-1750458915025007-805 contributor: fullname: American Heart Association – ident: bibr3-1750458915025007-805 doi: 10.1136/bmj.1.4335.181 – volume: 30 start-page: 20 year: 2005 ident: bibr7-1750458915025007-805 publication-title: Journal of Emergency Medical Services contributor: fullname: Davidoff J. – ident: bibr14-1750458915025007-805 doi: 10.1016/j.jemermed.2009.04.054 – ident: bibr10-1750458915025007-805 doi: 10.1152/ajplegacy.1922.62.1.1 – volume: 83 start-page: 40 year: 2011 ident: bibr13-1750458915025007-805 publication-title: Resuscitation contributor: fullname: Leider B.A. – volume: 81 start-page: 1219 year: 2010 ident: bibr9-1750458915025007-805 publication-title: Resuscitation doi: 10.1016/j.resuscitation.2010.08.021 contributor: fullname: Deakin C.D. – ident: bibr12-1750458915025007-805 doi: 10.1097/PEC.0b013e318177a6fe – volume: 6 start-page: 41 issue: 2 year: 2006 ident: bibr21-1750458915025007-805 publication-title: Journal of Emergency Medicine contributor: fullname: Wayne M.A. |
SSID | ssj0052349 |
Score | 2.0146468 |
Snippet | In many emergency situations rapid vascular access is a priority, particularly in cases involving haemodynamic compromise. Traditional vascular access through... |
SourceID | proquest crossref pubmed sage |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 140 |
SubjectTerms | Catheters Emergency Medical Services - methods Female Heart Arrest - drug therapy Humans Humerus Infusions, Intraosseous - methods Male Nursing Resuscitation - methods Tibia Vascular Access Devices Venous access |
Title | Intraosseous Access to the Circulatory System: An Under-Appreciated Option for Rapid Access |
URI | https://journals.sagepub.com/doi/full/10.1177/1750458915025007-805 https://www.ncbi.nlm.nih.gov/pubmed/26312264 https://www.proquest.com/docview/2051684835 https://search.proquest.com/docview/1708160348 https://search.proquest.com/docview/1710665854 |
Volume | 25 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwxV1JS8QwFH6oc_HiglvdiOBJiLaTpJN4G1zQi4oLKB5K2iYwh-kMsxz8977XRRlFwZPXpuRle-99ydsADvMwF8Z6yZ2XisuOzrhFPc2NMxYPkUMNSsHJVw-dm2d9fkFpckZNLEy9guNjcqvCEZXCmribXqNPaiPjSURJyakeniIVHpKcxVv9pJ9UL95NYQ36QibqaZ-s2xn5RL7xJsJtHlqUPA-5otW9v3t4aeQ33sxK0Ew0OBGpA-5-ojur0L6h1BkPsVJpXS7_x3RXYKmGuKxbnclVmHPFGrxe0ysyTsANpmPWLcs0ssmAIf5kZ70RecOSuZ9VGdRPWbdgZUkmjjCZEnAgJM7ZbSnfGOJsdm-HvbzuZx2eLi8ez654XdiBZ0LKCc_xzhOl3ni8HZsy5ZlOsUW4dpo5nepYRF7btspixI8-i6lsg_E2lTbuiAwR1gYsFIPCbQEzQkV5bI1ykZU6EimZgVUoMh96rUweAG92JxlW-TuSqE5x_nVZE1zWAHabLUyazUnaKLliLRGsBnDw0Yx8SMYVW9DCYWdUwiQUUv_2T0SWLq1kAJvV8fgYVBsnTUHNARzRWfgk_ttot__y8w4sItpTla_xLixMRlO3B_PjfLpfs8A7iMIWRA |
link.rule.ids | 315,782,786,27926,27933,27934,44981,45369 |
linkProvider | SAGE Publications |
linkToHtml | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1ZS8QwEB48HvTFA696RvBJiLSbpJsIPiwerHjiAYoPJW0T2JeuuLv_35keKyoK4nOTdDqZzHzpXAB7eZgLY73kzkvFZVtn3KKd5sYZi0Lk0IJScnL3vn39pE9OqUzOUZMLU3NwcEBhVUhRqazHp5vyxKkeObXCU2S9Q1KxahKmpRIxCvV05-72_rlRxXjJKvEvzeE0qc6d-2mdz7bpG-D8FOxV2p-z-X9SvgBzNfBknUpSFmHCFUvwck7_dpEW1x8NWKdsnsiGfYaokB333ihGlZzwrKprfsg6BSsbJXEEr1QWA4Fqzm5KrcMQ_bI7-9rL63WW4fHs9OG4y-t2CzwTUg55jjeRKPXG453VlIXIdIpPhGulmdOpjkXktW2pLEZU57OYmikYb1Np47bIEPeswFTRL9waMCNUlMfWKBdZqSORknNWhSLzodfK5AHwhtHJa1VVI4nqwuNf2ZQgmwLYbHYjafictFCfxFoihAxgd_wYTwe5PGxBjMPFqLFIKKT-bUxE_ietZACr1U6PiWrhR1OqcQD7tK0fL_-N2vW_DN6Bme7D1WVyeX59sQGziMdUFQ28CVPDt5HbgslBPtquJfsdEQDuHg |
linkToPdf | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3dSxwxEB_8AOlLW9HWrbaN0CchdfeS7CV9W9TDQ7nKnYLiw5LdJODL3uHd_f_O7IeiUkHocz52dpLM_JL5AvjlYieMDZL7IBWXfV1yi3qaG28sbiKPGpSCk08n_dG1Pj6hNDlZFwvTcnD-m9yqkKJaWNPpnrlw2NoYDxPKSU7l8BRp8JjErFqFdSmNxrO5no0vJjedOMaLVo2BaQynQW383L_mea6fXoHOZw5ftQ4afPoP1H-Gjy0AZVmzYzZhxVdbcDukN16kx0-Xc5bVRRTZYsoQHbKju3vyVSVjPGvym_9hWcXqgkkcQSylx0DA6tjfWvowRMFsbGd3rp1nG64GJ5dHp7wtu8BLIeWCO7yRJEUwAe-upk5IpgtsEb5XlF4XOhVJ0LanyhTRXShTKqpggi2kTfuiRPzzBdaqaeV3gBmhEpdao3xipU5EQUZaFYsyxEEr4yLgHbPzWZNdI0_aBOQv2ZQjmyLY61Yk73id91CupFoilIxg_7EZTwmZPmxFjMPJqMBILKR-q09CdiitZARfm9V-JKqHP00hxxEc0NI-ffwtar-9p_NP2Lg4HuTnw9HZLnxAWKYap-A9WFvcL_13WJ275Y92cz8AMezwmw |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Intraosseous+Access+to+the+Circulatory+System%3A+An+Under-Appreciated+Option+for+Rapid+Access&rft.jtitle=Journal+of+perioperative+practice&rft.au=Benson%2C+G&rft.date=2015-07-01&rft.pub=Association+for+Perioperative+Practice&rft.issn=1750-4589&rft.eissn=2515-7949&rft.volume=25&rft.issue=7-8&rft.spage=140&rft.epage=143&rft_id=info:doi/10.1177%2F1750458915025007-805&rft.externalDBID=HAS_PDF_LINK |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1750-4589&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1750-4589&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1750-4589&client=summon |