Intraosseous

Infusion –

Proximal Tibia

Insertion

Jon E. Thomas

MHS 536

Proximal Tibia Insertion Site

Proximal Tibia Insertion Site

Proximal Tibia Insertion Site

Anterior (front) view

(Fingers on tibial tuberosities)

Actual insertion sites located

(Fingers on insertion sites)

IO Insertion Select proper site, prepare with alcohol and betadine

IO Insertion

ROTATE SAFETY CAP CLOCKWISE TO REMOVE

IO Insertion Power the driver

Check the 5 mm mark!

IO Insertion Complete the insertion

“Stop when you feel the pop”

IO InsertionStabilize needle set while disconnecting

IO Insertion Remove the stylet from the catheter

(Never attempt to replace the stylet once removed from the catheter)

IO InsertionPlace the stylet into an approved biological hazard container

IO Insertion Attach the provided EZ-connect extension set to the

catheter hub’s standard luer lock

Prepare to give a 10 ml syringe flush

IO Insertion Do not attach a syringe directly to the EZ-IO catheter

Attaching a syringe may lead to an increase in the diameter of the insertion hole

Extravasation

IO Insertion Syringe flush the EZ-IO prior to administration of any

drugs or fluids

No Flush = No Flow

IO Confirmation

• Catheter is firmly seated and does not move

• You note blood at catheter hub

• You are able to aspirate blood or marrow from

catheter

– We recommend aspiration of only a small amount of

blood due to its extremely viscous nature

IO Confirmation

• Drugs or fluids flow without difficulty; no signs of

leakage in or around tissue

– CAUTION: concious patients will experience pain with

infusion prior to lidocaine!

• Flow rates may be slow or non existent prior to the 10 ml

bolus

• Check stylet tip for blood prior to placing it in the

shuttle or the bio hazard container

Secure and IdentifyAttach wristband

Monitor the Infusion Site

Important Reminder - flush prior to infusion anduse pressure to improve IO flow

Monitor the Infusion Site