What is EZ IO used for?

What is EZ IO used for?

The use of the EZ-IO™ provides a fast, easy and reliable alternative mode of venous access, especially in the resuscitation of patients with no venous vascular access in the emergency department. Flow rates may be improved by the use of pressure bags.

How long can an EZ IO stay in place?

24 hours
The IO site can be used for 24 hours and should be removed as soon as intravenous access has been gained. Prolonged use of an IO site, lasting longer than 24 hours, is associated with osteomyelitis (an infection in the bone).

Does EZ IO hurt?

The procedure is both safe and effective in children and adults. IO access can be extremely painful. However, the patient’s pain level can be reduced to a bearable level by injecting 2% preservative-free lidocaine through a special port before starting the infusion.

How do I confirm IO placement?

Confirm placement of the IO needle by checking for the stability of needle in bone, aspiration of marrow, ability to flush with saline, and good IV flow rates. The inability to aspirate does not always indicate poor placement. If this occurs, continue with a saline flush and attempt aspiration again.

What Cannot be given intraosseous?

Contraindications to IO insertion include fracture at or proximal to the insertion site, cellulitis or other infection overlying the insertion site, prior attempt at the insertion site, or bone disease such as osteogenesis imperfecta or osteopetrosis.

Is IO faster than IV?

An IO is a quick way to get vascular access in a code, faster than an IV and with greater first-attempt success.

Can you push blood through an IO?

Any intravenous fluid, blood products or routine resuscitation drugs can be administered through the IO route. Complications for short-term use are relatively rare compared to the advantages for a child who needs rapid administration of blood or fluid.

Is Io considered a central line?

IO techniques have fewer serious complications than central lines, and they can be performed much faster than central or peripheral lines when vascular collapse is present. IO insertion is recognized to be both safe and effective in all children and adults.

Why is IO infusion painful?

But the initial flush and subsequent pressure required to infuse fluids usually cause significant pain in the extremity receiving the infusion. This requires intraosseous pain relief using medication such as 2% preservative-free lidocaine injected directly into the IO space.

How much lidocaine does it take to flush an IO?

9%) flush. Consider a lower flush volume in younger children and infants. o The initial guideline dose for children and adults is 0.5 mg/kg. This is presented as the volume of 2% preservative-free lidocaine to be given IO.

Does IO placement yield blood return?

There are already multiple methods for confirming IO placement, including return of bone marrow, visualization of blood in the stylet, firm placement of the needle in the bone, and the ability to smoothly deliver a fluid flush.

Can you take blood from Io?

Blood drawn from an IO can be used for type and cross, chemistry, blood gas. There is not good correlation with Sodium, Potassium, CO2, and calcium levels.