Does getting an IO hurt?

Does getting an IO 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.

Where do you insert an IO?

Insertion sites for adults The distal tibia is the preferred site for manual insertion. The needle is inserted on the medial surface of the tibia at the junction of the medial malleolus and the shaft of the tibia, posterior to the greater saphenous vein. The proximal humerus is an alternate site.

How do you insert an intraosseous line?

METHOD OF INSERTION/ USE

1. 3 cm proximal to the most prominent aspect of the medial malleolus.
2. Place one finger directly over the medial malleolus the move ~ 2 cm proximal.
3. 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 know if an IO is in place?

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.

Where do you put IO in humerus?

Procedure:

1. Palpate the greater tubercle of the proximal humerus and then the surgical neck below that landmark.
2. IO drill should be placed at a 45 degree angle with the humeral head.
3. Infusion can be painful, so consider the infusion of 40 mg (2cc) of 2% lidocaine without epinephrine over two minutes.

Can you give blood through IO?

Any intravenous fluid, blood products or routine resuscitation drugs can be administered through the IO route. Complications for short term use are relatively rare compared to the advantages for a child who needs rapid administration of blood or fluid.

Can nurses place IO lines?

RN’s, physicians or EMT-P’s may insert an IO device after they have completed instruction with clinical supervision. An order must be received to by a physician for a RN or EMT-P to insert an IO. 3. RN must place the IV fluid bag on either a pressure bag or use an IV pump for infusion.