Felis ISSN 2398-2950

Intraosseous needle placement

Contributor(s): Daniel H Lewis, John Dodam

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

  • Fluid therapy in animal with circulatory collapse Shock.
  • Neonatal fluid therapy.
  • Drug administration in cardiac arrest.

Advantages

  • Can be performed under local anesthetic.
  • Useful when intravenous sites unavailable.
  • Rate of absorption is greater than that of peripheral vein 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 Shock: septicif possible as risk of osteomyelitis may be greater.

Requirements

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Preparation

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Procedure

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Aftercare

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Otto C M, Kaufmann G M & Crowe D T Jr. (1989) Intrassoeous infusion of fluids and therapeutics. Compend Contin Educ Vet 11 (4), 421-430 VetMedResource.


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