1 / 7

Intraosseous Access (I.O.)

Intraosseous Access (I.O.). Procedure. Preparation. Sterile technique Check needle – align bevels of the needle Support leg on firm surface Palpate landmark – flat surface of tibia below and medial to tibial tuberosity. Insertion. Insert needle through skin over flat surface of tibia

senwe
Download Presentation

Intraosseous Access (I.O.)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Intraosseous Access (I.O.) Procedure

  2. Preparation • Sterile technique • Check needle – align bevels of the needle • Support leg on firm surface • Palpate landmark – flat surface of tibia below and medial to tibial tuberosity

  3. Insertion • Insert needle through skin over flat surface of tibia • Use gentle/firm twisting motion • Advance needle through bony cortex of proximal tibia • Direct needle at 90 degree angle to axis of bone • Twist, DO NOT push!!!! • Stop advancing when sudden decrease in resistance is felt

  4. Secure Site • Unscrew cap and remove stylet • Attempt to aspirate bone marrow • If aspiration successful, irrigate needle • If unsuccessful, check position, consider flushing • Stabilize I.O. • Slowly inject 10 cc normal saline solution

  5. Signs of Rejection • Resistance to injection • Increased circumference of the soft tissue of calf • Increased firmness

  6. Why use Intraosseous Access ? • Provides access to a noncollapsible marrow venous plexus • Rapid, safe reliable • Route of administration for: • Crystalloids – Normal saline or Ringer’s Lactate • Colloids – Volume Expanders • Drugs • Blood

  7. Reference Pediatric Advanced Life Support (2007). Handout from class given at Memorial Hospital, York, PA (2009).

More Related