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...
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...
Device Standard IO Needle Bone Injection Gun (BIG) EZ-IO Features Manual device - limited to paediatric use due to force requiredAdjustable guards help control depth of needle insertionSharp lancet point facilitates entry to bone and have a luer lock to connect to...
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,...
Consensus is that all drugs required for emergency situations can be given via the intraosseous routes: Includes any drugs given peripherally or centrally The only exception is bretylium (anti-arrhythmic) Achieves pharmacokinetics comparable with central venous access...
