Table of Contents
What is an EZ IO for?
The Arrow EZ-IO Intraosseous Vascular Access System provides intraosseous access when intravenous access is difficult or impossible to obtain in emergent, urgent or medically necessary cases for up to 24 hours.
Can you use EZ IO on sternum?
The EZ-IO T.A.L.O.N. Needle Set is the first and only manual IO device that enables 7-site IO access: the sternum, bilateral proximal humerus, bilateral proximal tibia, and bilateral distal tibia.
What is EZ IO placement?
How long does an EZ IO drill last?
The system is indicated for up to 24 hours and may be extended for up to 48 hours for patients 12 years old when alternate intravenous access is not available or reliably established. The EZ-IO System provides peripheral venous access with central venous catheter performance.
How painful is an IO?
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.
How do you use EZ IO?
Can you draw blood from EZ IO?
All medications that can be given via central line can also be given via IO line. Blood can be drawn and sent for lab analysis just as with IV access. Although an IO line only has one lumen, there are multiple possible insertion sites, and multiple IO lines can be placed in the same patient simultaneously.
What site is the first choice for intraosseous infusion?
The proximal tibia, humeral head, and sternum are the preferred sites in adults. The distal femur, proximal tibia, and distal tibia are preferred sites for infants and neonates.
How does a bone IV work?
A bone drill is used when a traditional IV cannot be secured on a patient. It could be because the patient is dehydrated, diabetic or under extreme trauma, Shubert said. The bone drill can be used to quickly insert an intraosseous needle directly into the bone to dispense fluids, medications or sugar.
How does an IO work?
Intraosseous infusion (IO) is the process of injecting medications, fluids, or blood products directly into the marrow of a bone; this provides a non-collapsible entry point into the systemic venous system.
What are the indications for IO insertion?
Indications. IO access is the recommended technique for circulatory access in cardiac arrest. In decompensated shock IO access should be established if vascular access is not rapidly achieved (if other attempts at venous access fail, or if they will take longer than ninety seconds to carry out.)
Where is an IO placed?
The first step in the placement of an IO needle is site selection. The location options include the proximal tibia on the medial flat side at the level of the tibial tuberosity. In adults, this spot is about three cm distal to the inferior border of the patella. Another site is the distal tibia.
What is a SAM IO driver?
The SAM IO Driver is a manually operated device that works by continuously compressing a trigger to create a rotational spin of the needle assembly. By exerting gentle pressure, the manually actuated driver provides a controlled and accurate IO placement.
What size is an IO needle?
45mm IO needle set: 45mm (humerus insertion or excessive tissue), 25mm (> 40kg)
What is a bone injection gun used for?
The world’s first automatic IO device brings you rapid IO access for the delivery of fluids and medications at flow rates higher than IV infusion. With the help of Bone Injection Gun, IO infusion can be established within seconds with an easy position and press mechanism.
How many syringes will you need for intraosseous insertion?
3.8 Connect the extension set and manually flush the IO needle with 10 ml syringe (for adults) or 6 ml syringe (for pediatrics) of IV fluid mixed with the appropriate dose of Lidocaine 2%; connect intravenous infusion extension set with appropriate solution to the IO needle.
How long can an IO needle stay in?
72 to 96 hours 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.
Does flushing IO hurt?
IO infusion through the tibia is typically more painful, and the pain is more difficult to manage than when infusing through the humerus for conscious patients. In addition, an inherent pulse pressure must be overcome before any positive flow can be achieved.
Is IO sterile?
Insertion of IO devices The procedure of IO access must be performed under sterile conditions using sterile gloves, a large sterile drape and a disposable sterile needle, after cleaning the skin to avoid causing osteomyelitis or cellulitis.
How do I confirm IO placement?
A properly placed IO line must be through the cortex of the bone and situated within the marrow cavity. Standard methods for confirmation of IO placement include aspiration of bone marrow, firm placement of the IO needle into the bone, and no evidence of extravasation.
Can you pull Labs from an IO?
Labs drawn via IO Blood drawn from an IO can be used for type and cross, chemistry, blood gas. There is not good correlation with Sodium, Potassium, CO2, and calcium levels.
Is Io considered a central line?
IO techniques have fewer serious complications than central lines, and they can be performed much faster than central or peripheral lines when vascular collapse is present. IO insertion is recognized to be both safe and effective in all children and adults.
What medications can you give through an IO?
While all resuscitation drugs can be given by the IO route, administration of ceftriaxone, chloramphenicol, phenytoin, tobramycin, and vancomycin may result in lower peak serum concentrations. The most common adverse effect seen with IO use, extravasation, has been reported in 12% of patients.
Can dextrose be given io?
Answer: Dextrose can be given via IO. Literature reports that the problem with dextrose and bone marrow is seen with long term administration / infusions of dextrose IO rather than in an emergency situation – temporary and once or twice for a single patient – when bolused and flushed.
Can you Io a neonate?
IO access can however result in rare, but serious adverse events including compartment syndrome and amputation. We describe a case resulting in leg amputation due to IO infusion in a neonate after resuscitation and therapeutic hypothermia.
What is IO vascular access?
Intraosseous (IO) vascular access refers to the placement of a specialized hollow bore needle through the cortex of a bone into the medullary space for infusion of medical therapy and laboratory tests.
Why do paramedics drill into shin?
Now, if intravenous insertion is not possible, paramedics will insert a 25mm-long needle into the leg bone below the patient’s knee cap. This will be used to drill a small hole in the bone, which allows access to the bone marrow underneath, which connects to the body’s circulatory system.
Which is better IV or IO?
Intraosseous (IO) parenteral access is relatively fast and easy to obtain, whereas intravenous (IV) access can be difficult. IO access is currently recommended as an option for patients with out-of-hospital cardiac arrest (OHCA) when IV access cannot be immediately obtained.
How do I start an IO line?
Place the needle through the skin, perpendicular and down to the bone. Activate the IO drill or gun until the IO needle anchors in place, OR manually TWIST the needle clockwise (don’t push) with gentle firm pressure until the bone gives (loss of resistance technique) and the needle locks into place.