Clinical Procedure
 
Aliases:
IO insertion
I/O insertion
IO cannula
Intra-osseous needle
Intra-osseous cannula
Intraosseus cannula

Topic aliases are alternate phrasings for a particular topic.


Paediatrics - proximal tibia is usually the first choice location, although anywhere you would be able to get bone marrow would be adequate.

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To simulate bone for procedure practice, a Crunchie chocolate bar covered with a wooden spatula works well.
#apls

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2

Video recording of actual procedure in an infant with good narration and instruction. At the end a contrast venogram is shown demonstrating the path of the infusion.

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Video recording of procedure on an adult patient highlighting 6 common mistakes made.
1. Not securing the extremity
2. Excessive pressure applied
3. Failed to use 2% lidocaine for pain
4. Failure to use 10ml flush
5. Failure to puncture through the skin before drilling
6. Not using the correct needle length

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