2. ◦Intraosseous infusion (IO) is the process
of injecting directly into the marrow of a
bone. This provides a non-collapsible entry
point into the systemic venous
system. This technique is used to provide
fluids and medication when intravenous
access is not available or not feasible.
3. ◦. Intraosseous infusions allow for the
administered medications and fluids to go
directly into the vascular system. .
Intraosseous infusions are utilized when
trauma patients have compromised
intravenous access and need immediate
delivery of life saving fluids and
medications.
4. Procedure:
◦The needle is injected through the bone's hard
cortex and into the soft marrow interior which
allows immediate access to the vascular
system. The IO needle is positioned at a 90-
degree angle to the injection site, and the
needle is advanced through manual traction,
impact driven force, or power driven.
5. ◦ Each IO device has different designated
insertion locations. The most common site of
insertion is the antero-medial aspect of the
upper, proximal tibia as it lies just under the
skin and is easily located. This is on the upper
and inner portion of the tibia. Other insertion
sites include the anterior aspect of the femur,
the superior iliac crest, proximal humerus,
proximal tibia, distal tibia, sternum.