Table of Contents
How is an intraosseous needle used in pediatrics?
The preferable puncture sites in children for intraosseous access are the proximal tibia (the site may be located by placing a finger 1 cm below the tibial tuberosity and then sliding the finger 1 cm medially), the distal tibia (2 cm above the medial malleolus), and the distal femur.
What is the preferred site for intraosseous access in a child under 6 years of age?
The insertion site of choice in children and infants is the proximal tibia; the distal tibia and distal femur are alternatives (see the images below). The proximal tibia provides a flat wide surface and has only a thin layer of overlying tissue, which allows easy identification of landmarks.
What size is the yellow IO needle?
45 mm
Yellow Specifications: The 45 mm Needle Set is ideal for the humerus site in patients over 39kg (over 86 pounds). The EZ-IO® Intraosseous Infusion System is the leading choice for intraosseous access across multiple health care settings.
Where do you place an IO needle?
The preferred site for manual insertion in adults is the medial aspect of the distal tibia, just proximal to the medial malleolus (Figure 3). Position the leg so that it is in slight flexion and externally rotated at the hip.
What size is a blue EZ IO needle?
25 mm
The EZ-IO® needles are the commonly used devices for humeral and tibial placements. EZ-IO® IO-IV devices may be inserted with a power driver (drill) or manually. The 25 mm (blue hub) and 15 mm (pink hub) needles may be inserted manually.
What size is the pink IO needle?
15 mm
EZ-IO® IO-IV devices may be inserted with a power driver (drill) or manually. The 25 mm (blue hub) and 15 mm (pink hub) needles may be inserted manually. The 45 mm (yellow hub) requires a power drill for insertion and does not come with a manual driver.
How long can an intraosseous needle remain in situ?
The intraosseous needle may remain in situ for 72 to 96 hours, but it is best removed within 6 to 12 hours, as soon as an alternative site of intravascular access has been established. The intraosseous route provides fast and reliable vascular access in emergency medical situations.
What is EZ IO used for?
The use of the EZ-IO™ provides a fast, easy and reliable alternative mode of venous access, especially in the resuscitation of patients with no venous vascular access in the emergency department. Flow rates may be improved by the use of pressure bags.
What is an EZ-IO needle?
Drugs and fluids infused via the intraosseous route reach the central circulation as quickly as those administered through standard IV access. These EZ-IO Needle Sets are intended for use with the EZ-IO Power Driver. The 15-gauge IO needles are available in 15mm, 25mm and 45mm lengths.
Is intraosseous access safe in the pediatric emergency setting?
Aim: Intraosseous access is an alternative to conventional intravenous access. A number of studies have demonstrated the utility and safety of EZ-IO, a recently introduced semi-automatic intraosseous device. However, few studies have investigated the use of EZ-IO in the paediatric emergency setting.
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.
Is EZ-IO safe in the paediatric emergency department?
A number of studies have demonstrated the utility and safety of EZ-IO, a recently introduced semi-automatic intraosseous device. However, few studies have investigated the use of EZ-IO in the paediatric emergency setting.