Intraosseous Access
Anna D. Jarvis
Introduction
Used to rapidly secure vascular access in critically ill children with circulatory collapse or difficult IV access
Can be used in all ages (consider battery-powered E-Z IOTM for older children and adolescents)
Indications
If unable to establish peripheral or central access in a timely fashion in a critically ill child, intraosseous route may be lifesaving
Guideline: three peripheral stabs unsuccessful, OR 90 seconds
Usually children < 6 years of age
May be used in older children if no other route available
Can use to administer all fluids, blood products, and drugs that can be administered intravenously
Contraindications
Absolute Contraindications
Recent fracture in bone
Recent intraosseous infusion in bone
Osteogenesis imperfecta
Osteopetrosis
