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EZ-IO in the Pediatric Patient

EZ-IO in the Pediatric Patient. This presentation is only for Pediatric specific IO site location and placement. For complete IO insertion education, please refer to the website www.vidacare.com. Insertion sites. Proximal Humerus. Proximal Humerus. Proximal Tibia. Proximal Tibia.

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EZ-IO in the Pediatric Patient

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  1. EZ-IO in the Pediatric Patient

  2. This presentation is only for Pediatric specific IO site location and placement. For complete IO insertion education, please refer to the website www.vidacare.com T- 509

  3. Insertion sites Proximal Humerus Proximal Humerus Proximal Tibia Proximal Tibia Distal Tibia Distal Tibia T- 509

  4. Proximal tibia • 2 fingerbreadths below base of patella and 1 fingerbreadth medial T- 509

  5. Proximal tibia • Pinch the sides of the tibia bone between your fingers and isolate the proximal tibia T- 509

  6. Ability to locate accurate site on proximal tibia If TibialTuberosity cannot be palpated then find base of patella T- 509

  7. Ability to locate accurate site on distal tibia • Place one finger directly over the medial malleolus • Move 2 fingerbreadths proximal • Palpate anterior and posterior tibia borders to confirm the flat center aspect of the bone T- 509

  8. Proximal humerus • Should only be used in patients whose landmarks can clearly be identified surgical neck T- 509

  9. Ability to locate accurate site on proximal humerus Elbow should remain adducted & posteriorly located Place the hand over the umbilicus for humeral positioning and safety T- 509

  10. Ability to locate accurate site on proximal humerus • Use the thumb to palpate up the humerus until a notch/groove is felt • Insertion site is approximately 1 cm above the site. At the most prominent point T- 509

  11. Pediatric EZ-IO insertion sites T- 509 Proximal Tibia Proximal Humerus Distal Tibia

  12. STEP-by-step procedure T- 509

  13. Chose appropriate insertion site • Identify the site by palpation T- 509

  14. Primary Consider tissue depth PRIOR to bone insertion • Chose appropriate needle - 15, 25 or 45 mm • Special situations • Excessive soft tissue • Excessive muscle tissue • Edema T- 509

  15. Prime EZ-Connect with Saline • Consider Lidocaine* if awake • Clean insertion site with antiseptic • Place needle on driver • Remove needle safety cap T- 509

  16. Press needle set through skin until tip touches bone • At least 5 mm of the cathether must be visible T- 509

  17. Squeeze Driver trigger • Apply gentle, steady pressure • Immediately release trigger when sudden ”give” or ”pop” is felt - indicates entry into the medullary cavity • STOP WHEN YOU FEEL THE POP T- 509

  18. Remove Driver and stylet • Use of stabilizer is strongly recommended for pediatrics T- 509

  19. Attach primed EZ-Connect • Flush with normal saline NO FLUSH. NO FLOW. • For patients responsive to pain,consider administering 2% lidocaine prior to flush T- 509

  20. T- 509

  21. Confirm placement with at least 3 of 4 methods • Stability of catheter • Ability to aspirate • Physiological or pharmacologic changes • Adequate flow rate T- 509

  22. Apply EZ-IO wristband • Do not leave catheter inserted for more than 24 hours • NOTE!Monitor insertion site frequently for extravasation T- 509

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