Can you place an IO in the sternum?
The intraosseous (IO) route is one of the primary means of vascular access in critically ill and injured patients. The most common sites used are the proximal humerus, proximal tibia, and sternum. Sternal IO placement remains an often-overlooked option in emergency and prehospital medicine.
Where do you put the EZ IO?
The insertion site is 1 to 2 cm above the surgical neck, on the most prominent aspect of the greater tubercle. C: Place your thumbs together over the arm. This identifies the vertical line of insertion on the proximal humerus. B: Place the ulnar aspect of your hand vertically over the axilla.
When would you use an intraosseous IO route?
Procedure. An IO infusion can be used on adult or pediatric populations when traditional methods of vascular access are difficult or otherwise cause unwanted delayed management of the administration of medications. The IO site can be used for 24 hours and should be removed as soon as intravenous access has been gained.
How much lidocaine does it take to flush an IO?
9%) flush. Consider a lower flush volume in younger children and infants. o The initial guideline dose for children and adults is 0.5 mg/kg. This is presented as the volume of 2% preservative-free lidocaine to be given IO.
Is Io a central line?
IO techniques have fewer serious complications than central lines, and they can be performed much faster than central or peripheral lines when vascular collapse is present. IO insertion is recognized to be both safe and effective in all children and adults.
When should IO access be attempted before IV?
cardiopulmonary
D. IO placement may be considered prior to peripheral IV attempts in cases of cardiopulmonary or traumatic arrest, in which it may be obvious that attempts at placing an IV would likely be unsuccessful and or too time consuming, resulting in a delay of life-saving fluids or drugs. 1.
Why is IO infusion painful?
IO Infusion Pain in the Conscious Patient Use of the IO route in the conscious patient creates a new challenge due to the presence of numerous sensory receptors within the non-collapsible and non-expandable marrow cavity.
Can adrenaline be given io?
Background: Adrenaline is an important component in the resuscitation of individuals experiencing out-of-hospital cardiac arrest (OHCA). The 2018 Advanced Cardiac Life Support (ACLS) algorithm gives the option of either intravenous (IV) or intraosseous (IO) routes for adrenaline administration during cardiac arrest.
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.
Can you take blood from 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.
Why choose Arrow® EZ-IO® intraosseous vascular access system?
In any situation where intravenous access is difficult to obtain in emergent, urgent, or medically necessary cases, the Arrow ® EZ-IO ® Intraosseous Vascular Access System from Teleflex is a proven, 1 fast, 2* and effective 3 solution.
What is the duration of the EZ-IO system?
The system is indicated for up to 24 hours and may be extended for up to 48 hours for patients ≥ 12 years old when alternate intravenous access is not available or reliably established. The EZ-IO ® System provides peripheral venous access with central venous catheter performance. 5-6*†
Is intraosseous vascular access safe and effective?
Dolister M, Miller S, Borron S, et al. Intraosseous vascular access is safe, effective and costs less than central venous catheters for patients in the hospital setting. J Vasc Access 2013;14 (3):216-24. doi:10.5301/jva.5000130.
Is the Arrow® EZ-IO® needle set sterile?
The Arrow ® EZ-IO ® Needle Set is Sterile, Single Use: Do not reuse, reprocess or re-sterilize. Reuse of device creates a potential risk of serious injury and/or infection which may lead to death.