RT Book, Section
A1 Friedlaender, Eron Y.
A1 Marlowe, Lauren E.
A2 Zaoutis, Lisa B.
A2 Chiang, Vincent W.
SR Print(0)
ID 1146125466
T1 Intraosseous Catheters
T2 Comprehensive Pediatric Hospital Medicine, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071829281
LK accesspediatrics.mhmedical.com/content.aspx?aid=1146125466
RD 2023/11/30
AB Intraosseous  (IO)  cannulation  is  an  effective  and  reliable  means  of  rapidly  accessing  the  central  circulation  for  the  administration  of  fluids,  medications,  and  blood  products.  The  non-collapsible  intramedullary  venous  sinuses  offer  great  stability  during  states  of  profound  vasoconstriction  and  circulatory  failure,  such  as  shock  and  cardiac  arrest,  when  peripheral  access  is  emergently  needed  but  untenable.1,2  Highly  vascular  marrow  spaces  are  capable  of  absorbing  large  volumes  of  fluids,  medications,  and  blood  products  with  rapid  distribution  to  the  rest  of  the  body.3  The  procedure  can  be  safely  performed  with  minimal  training  by  pre-hospital  providers  as  well  as  by  staff  skilled  in  pediatric  hospital,  emergency,  or  critical  care  medicine.4,5  Power-assisted  devices  for  IO  placement  have  made  this  procedure  even  more  accessible  to  providers  of  all  skill  levels.6-8