What is an intraosseous drill?
What is an intraosseous drill?
In February 2006, Jackson County EMS began carrying EZ-IO Intraosseous Drills, a device used to administer IV fluids and medications to patients where traditional intravenous methods are unsuccessful. Typically, EMTs and Paramedics start IV’s in the patients hands, arms, feet, and sometimes in the neck.
How do I confirm IO placement?
Confirm placement of the IO needle by checking for the stability of needle in bone, aspiration of marrow, ability to flush with saline, and good IV flow rates. The inability to aspirate does not always indicate poor placement. If this occurs, continue with a saline flush and attempt aspiration again.
Does an IO drill hurt?
The procedure is both safe and effective in children and adults. IO access can be extremely painful. However, the patient’s pain level can be reduced to a bearable level by injecting 2% preservative-free lidocaine through a special port before starting the infusion.
How do you do an intraosseous line?
METHOD OF INSERTION/ USE
- 3 cm proximal to the most prominent aspect of the medial malleolus.
- Place one finger directly over the medial malleolus the move ~ 2 cm proximal.
- Palpate the anterior and posterior borders of the tibia to ensure that the insertion site is on the flat central aspect of the bone.
How do you start an intraosseous line?
Place the needle through the skin, perpendicular and down to the bone. Activate the IO drill or gun until the IO needle anchors in place, OR manually TWIST the needle clockwise (don’t push) with gentle firm pressure until the bone gives (loss of resistance technique) and the needle locks into place.
Does IO placement yield blood return?
There are already multiple methods for confirming IO placement, including return of bone marrow, visualization of blood in the stylet, firm placement of the needle in the bone, and the ability to smoothly deliver a fluid flush.
Can you draw blood from an IO?
All medications that can be given via central line can also be given via IO line. Blood can be drawn and sent for lab analysis just as with IV access. Although an IO line only has one lumen, there are multiple possible insertion sites, and multiple IO lines can be placed in the same patient simultaneously.
Can you saline lock an IO?
9. Connect the appropriate IV equipment (normal saline locks not indicated in IO placement). 10. Administer the appropriate fluids and/or drugs.
How long can an IO be used?
24 hours
The IO site can be used for 24 hours and should be removed as soon as intravenous access has been gained. Prolonged use of an IO site, lasting longer than 24 hours, is associated with osteomyelitis (an infection in the bone).
Can you draw labs from an IO?
Labs drawn via IO Blood drawn from an IO can be used for type and cross, chemistry, blood gas. There is not good correlation with Sodium, Potassium, CO2, and calcium levels.
What is an intraosseous needle?
Intraosseous needles, or IO needles, help medical professionals gain vascular access and deliver fluids and medications quickly through the bone marrow. In addition to IO needles, Bound Tree also offers IO kits and other IO products. The NIO is an automatic intraosseous device packaged for safe, quick, and easy vascular access.
Are you aware of intraosseous access?
Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients. Yet many clinicians remain unaware of the procedure.
How long can an intraosseous line stay in place?
Intraosseous lines can safely remain in place for up to 24 hours and are often a bridge to either IV or Central Venous line placement. Intraosseous Line Access and Procedure
Which devices are used in intraosseous cannulation?
Intraosseous cannulation has been most used in infants and young children, but power drill and spring-loaded devices that facilitate needle insertion through thick cortical bone have increased the use of this method in adults.
