in critically ill infants and children, intravascular (iv) access is sometimes very difficult. in such cases intraosseous (io) infusion should be used as the method of choice. however, in practice, different problems are experienced with this procedure. to overcome the practical problems and to confirm the efficacy of io infusion in reversing hypovolemic shock, an animal model was used by emplo...

The technique of intraosseous (IO) infusion has been reemerged as an alternative route of intravascular access for the delivery of fluids and some medications. Complications of IO infusion occur rarely and include fractures and osteomyelitis after long-term use of IO access. The purpose of this study was to compare the efficiency of induction of anaesthesia by a standard intravenous route and a...

PURPOSE OF REVIEW Difficulties to establish a venous access may also occur in routine pediatric anesthesia and lead to hazardous situations. Intraosseous infusion is a well tolerated and reliable but rarely used alternative technique in this setting. RECENT FINDINGS According to recent surveys, severe complications of intraosseous infusion stay a rare event. Minor complications and problems i...

the technique of intraosseous (io) infusion has been reemerged as an alternative route of intravascular access for the delivery of fluids and some medications. complications of io infusion occur rarely and include fractures and osteomyelitis after long-term use of io access. the purpose of this study was to compare the efficiency of induction of anaesthesia by a standard intravenous route and a...

AIM To evaluate the use of intraosseous lines for rapid vascular access in primary resuscitation of preterm and full term neonates. METHODS Thirty intraosseous lines were placed in 27 newborns, in whom conventional venous access had failed. RESULTS All the neonates survived the resuscitation procedure, with no long term side effects. CONCLUSION Intraosseous infusion is quick, safe, and ef...

Long bones in infants are filled with marrow that contains vascularized sinusoids. These sinusoids eventually drain into the systemic venous circulation. The marrow cavity acts as a rigid vein and so will not collapse, even in the face of severe volume loss. No matter how dehydrated or volume-depleted the child is, there is always a rigid tube that can be punctured to replace the required fluid...

Neonatal health care providers are fortunate that the umbilical cord generally provides easy intravenous (IV) access for newborn patients. Outside of the immediate newborn period, however, it may be impossible to obtain peripheral or umbilical IV access in critically ill newborns. Intraosseous (IO) infusion is not widely used in the neonatal population, but is a viable option when IV access can...

An 11 week old infant who had a cardiac arrest secondary to gastrointestinal haemorrhage and was successfully treated using intraosseous infusion is reported. The child was discharged with no apparent neurological deficit.