Why would you need an intraosseous IV?

Why would you need an intraosseous IV?

The intraosseous infusion technique is used to provide fluids and medication when intravenous access is not available or not feasible. Intraosseous infusions are used when people have compromised intravenous access and need immediate delivery of life-saving fluids and medications.

When would you use an intraosseous IO route?

Indications. IO access is the recommended technique for circulatory access in cardiac arrest. In decompensated shock IO access should be established if vascular access is not rapidly achieved (if other attempts at venous access fail, or if they will take longer than ninety seconds to carry out.)

When would you use an IO?

IO access has been used in medical emergencies requiring immediate access when peripheral IV access is either not possible or time-prohibiting, such as cardiac arrest, status epilepticus, shock, trauma, and burns[2]. There is mounting evidence supporting the continued use of IO lines both in-hospital and pre-hospital.

What can be given through intraosseous route?

While all resuscitation drugs can be given by the IO route, administration of ceftriaxone, chloramphenicol, phenytoin, tobramycin, and vancomycin may result in lower peak serum concentrations. The most common adverse effect seen with IO use, extravasation, has been reported in 12\% of patients.

What is the difference between an IV and an IO?

Intraosseous (IO) parenteral access is relatively fast and easy to obtain, whereas intravenous (IV) access can be difficult. IO access is currently recommended as an option for patients with out-of-hospital cardiac arrest (OHCA) when IV access cannot be immediately obtained.

What labs are inaccurate from Io?

Labs drawn via IO There is not good correlation with Sodium, Potassium, CO2, and calcium levels.

What is IO access IV?

Intraosseous (IO) cannulation or IO access is a rapid method to administer medications through the bone marrow cavity in a critically ill or an injured patient. The medicines reach blood circulation directly from the bone marrow cavity. The procedure is both safe and effective in children and adults.

Is IO faster than IV?

An IO is a quick way to get vascular access in a code, faster than an IV and with greater first-attempt success.

Is IO quicker than IV?

Can Propofol be given io?

Two IO doses of propofol (1 mg/kg) were administered during the direct laryngoscopy to achieve a deeper plane of anesthesia. After completion of the airway examination, which required 15 min, the infant was transported to the pediatric ICU with the IO needle in place.

What is io vs IV?

When can you not use IO access?

When will intraosseous access be avoided?

• Fractures in the long bones.
• Previous surgery in the long bones.
• Infection of the skin at the insertion site.
• Infections within the targeted bone.
• History of bone deformity, such as osteogenesis imperfecta.
• Previous failed IO access within 24 hours in the targeted bone.