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Intraosseous Infusion: by Chisupa Eric
Intraosseous Infusion: by Chisupa Eric
INFUSION
By Chisupa Eric
Definition
Rapid flush to
displace marrow
Contraindications
• Fracture of target bone
• IO or attempted IO within previous 48 hours in
target bone
• Prosthesis or orthopedic procedure near
insertion site
• Infection at area of insertion
• Inability to identify landmarks
Site Selection • Flow rates average 5L/hr
• 3 seconds to heart with medication/fluids
• Lower insertion & infusion pain
• Less medication required for pain
management
• No reported compartment syndrome due to
IO placement
2014-2780
Proximal Humerus Site Identification
Proximal Tibia Site Identification
Adult Infant/Child
Growth
Plate
2014-2780
Distal Tibia Site Identification
Midline
on the bone
2014-2780
EZ-IO® Needle Set Selection
2014-2780
Needle Set Selection
Estimate tissue depth
YES 5mm NO
2014-2780
Insertion Angle
Humerus: Insert needle
set at a 45O angle to the
anterior plane and
posteromedial
2014-2780
Insertion Technique
2014-2780
Rapid Flush
Adults: 5-10mL NS
Infants & Children: 2-5mL NS