Intraosseous Fluid Infusion

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Prof. T.K.Partha Sarathy

Alternative methods of fluid therapy when I.V. access is not available

When a few attempts at I.V. cannulation in a child less than 6 years old are unsuccessful a viable alternative method is to utilize tibial puncture and give the fluid intraosseously.


Preconditions for the procedure:

1. Not indicated above the age of 6

2. When I.V. access is not possible and the situation is an emergency

3. Aseptic precautions should be followed very carefully (Serile technique)

4. To be utilized only for a short period until venous access is made possible

5. Use only if the limb is uninjured.

Requirements:

1. Betadine solution for scrub

2. Sterile drapes

3. Sterile gloves

4. 10 cc syringe half filled with Normal Saline

5. A large caliber bone marrow aspiration needle or a 18 gauge spinal needle with stylet

6. Xylocaine

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razawazir 

well this explanation guided me a lot but it will be more productive if it has been explained with a video.2nd it does not mention the proper size of the needle and criteria for selecting this rout

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