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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 [2]
Procedure:
- injecting directly into the marrow of a bone
- humeral head or tibia (adults) [2]
- provides non-collapsible entry point into the systemic venous circulation
- flow rates may be slower than IV access [2]
Complications:
- low risk of infection [2]
Management:
- duration of intraosseous infusion: up to 24 hours [2]
- 2% preservative-free lidocaine may be used to contral pain
General
infusion
References
- Wikipedia: Intraosseous infusion
http://en.wikipedia.org/wiki/Intraosseous_infusion
- Medical Knowledge Self Assessment Program (MKSAP) 17,
American College of Physicians, Philadelphia 2015