Canis ISSN: 2398-2942

Intraosseous needle placement

Contributor(s): Daniel H Lewis

Introduction

  • To access intramedullary cavity as a route for administering fluid therapy in the absence of a good intravenous route.
  • The rate of absorption of a substance from the bone marrow is equivalent to that from a central vein.

Uses

Advantages

  • Can be performed under local anesthetic.
  • Useful when intravenous sites unavailable
  • Rate of absorption is greater than from peripheral veins in shocked patient.
  • Can be used for collection of blood samples for assessment of some parameters.

Disadvantages

  • Adequate restraint necessary if performing on conscious patient.
  • Cannot use if skin/wound infections over site of entry.
  • Cannot place into fractured bones.
  • Avoid in cases of septic shock if possible as risk of osteomyelitis Osteomyelitis may be greater.

Requirements

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Aftercare

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Otto C M, McCall Kaufman G & Crowe D T Jr. (1989) Intraosseous infusion of fluids and therapeutics. Comp Cont Ed Vet 11 (4), 421-430 VetMedResource.


ADDED