There is good consensus that marrow obtained following IO insertion can be used for: Point of care glucose testing Microbiological cultures Institutions vary in the ability to use the aspirate for other pathology investigation depending upon equipment – should...
Overall rate of serious complications is of (<1%) Vascular Complications Extravasation (most common)Compartment syndrome (if large extravasation or infiltration goes unnoticed)Embolism (air or fat) Osseous Complications Fracture of the target bone Necrosis of...
Risk to the clinician (e.g. lack of patient compliance). Fracture in target bone (compartment syndrome risk) Attempt on target bone within 48 hours Overlying site infection Previous surgery near the insertion site (caution plates or implants) Severe obesity or...
In general, indications for both adults and children include: Failure to gain intravenous access in a resuscitation, trauma or peri-arrest setting allowing stabilization and facilitation of definitive, long-term intravenous access Failure to gain access in a...