In adults, the recommended first-line insertion site is the proximal humerus It carries the advantages of: Fast flow rates (5L/hour) Lower insertion and infusion pain Sternal insertion is not routinely recommended due to risk of serious complications (fracture,...
You prepare to insert an intraosseous needle with a drill based device. An appropriate site has been chosen, and the limb stabilised. You have appropriate PPE on and have performed hand hygiene. A colleague has prepared the equipment and flushed the extension...
Cleanse site using a cleaning agent Push the needle set tip through the skin until the tip rests against the bone The 5 mm mark must be visible above the skin for confirmation of adequate needle set length. Angle the needle at 90-degrees to the bone surface Squeeze...
To ensure correct sizing the black lines can act as a “depth gauge” of soft tissue: At least one black line on the catheter must be visible above the skin when the needle tip is touching bone Generally the following needles are used: Paediatrics Neonates...
Needle feels firmly seated in bone and remains upright Bone marrow is aspirated following insertion There is low resistance to injection of saline and no evidence of...
