intraosseous infusion

Indications

• emergencies when intravenous access is not feasible
  • clinical hydration (clinical dehydration)
  • administration of parenteral medications

Contraindications

• do not place in bone with fracture or recent (24-48 hours) intraosseous access attempt

Procedure

• injecting directly into the marrow of a bone
  • humeral head or tibia (adults)
• provides non-collapsible entry point into the systemic venous circulation
• flow rates may be slower than IV access

Complications

• low risk of infection

Management

• duration of intraosseous infusion: up to 24 hours
• 2% preservative-free lidocaine may be used to contral pain

More general terms

• infusion