Intraosseous Infusion

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Abstract
IMMEDIATE vascular access is required for the optimal management of many emergencies in children, including cardiopulmonary arrest, burns, prolonged life-threatening status epilepticus, and shock due to trauma, dehydration, or sepsis.1 2 3 In many of these critically ill children, however, it is not easy to gain access to the vascular system. In one study at a pediatric medical center, for example, placement of an intravenous catheter required 10 minutes or more in 24 percent of the children in cardiac arrest.4 The technique of intraosseous infusion offers hope for rapid vascular access in such critically ill young children. The technique is not a . . .

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