4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
User name :
Password :
Follow Us : Follow On Facebook Follow On Twitter Follow On Youtube
FIND DIAGNOSIS
FIND DIAGNOSIS
Find Diagnosis
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
VASCULAR ACCESS IN PEDIATRICS
VASCULAR ACCESS IN PEDIATRICS
Intraosseous Infusion
Intraosseous Infusion
Dr Sunita Goel
Lecturer in Anaesthesiology
BJ Wadia Children's Hospital


Intraosseous infusion :

  • Establishes vascular access in critically ill infants and toddlers.

  • Absorption of fluids and most drugs infused into the marrow is rapid and complete.

  • Not too useful in children above 5 years old

Indications for intraosseous infusion

Sites for intraosseous infusion

  • Proximal tibia

  • Distal femur

  • Distal tibia

  • Anterior superior iliac spine
Technique for intraosseous infusion

  • Prepare all the equipment

  • Restrain the extremity

  • Identify the insertion area (1-3 cm below the tibial tuberosity on the medial flat surface of the anterior tibia)

  • Clean the skin with iodine

  • Infiltrate the area with local anesthesia

  • Advance the needle using firm pressure (away from the growth plate)

  • Use a screwing motion and a 60 to 90 degree angle

  • Remove the stylet; attach a syringe to the needle.
Confirmation of successful needle placement

  • The needle stands upright without support

  • Able to aspirate marrow (not always)

  • Lack of resistance of infusion

  • Radiographic confirmation
Contra-indications to intraosseous infusion

  • Ipsilateral fractured extremity

  • Osteoporosis

  • Osteogenesis imperfecta

  • Skin infection
Complications of intraosseous infusion

  • Extravasation of fluid

  • Skin necrosis

  • Compartment Syndrome

  • Osteomyelitis

  • Fracture


 
 
Educational Section
 
Disclaimer:
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
 
copyright ©2011 website design & development by Levioza
Follow Us
Follow us on :
Folllow Us