Shins and Needles – Intra-Osseous Placement

Intra-Osseous Placement

I came across this discussion point while perusing the medical blog world. The discussion revolves around the difficulties with pediatric Intra-Osseous needle placement and more so, keeping the needle in the bone.

Most of my experience with IO insertion and care has been on adults and rarely, actually never, have I witnessed an IO cannula dislodge or come out of an adult limb without the application of brute force. I understand this is not the case for children.

Intraosseous

Intraosseous pediatric trainer

See this link for discussion about how best to secure an IO in pediatric patients. 
http://emcrit.org/misc/how-to-secure-an-io-in-a-peds-patient/

Take home message; if you need to insert an IO, you need to make sure it stays in.

FYI: “cannula” is Latin for little reed

Intra-Osseous in action:

[youtube=http://www.youtube.com/watch?v=PL3DMY1Zln0]

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