Attempt one to two age appropriate catheters.
If unsuccessful, use the EZ-IO for emergent access when patient needs volume or medications rapidly.
May be considered prior to peripheral IV attempts in the following situations:
- Cardiac arrest
- Profound hypovolemia
- IV access not readily available
- Fracture of tibia or femur; consider alternate side
- Infection at insertion site
- Inability to locate landmarks
In awake patients, prior to use,
- <5 kg slowly administer 0.25 ml (5 mg) of 2% lidocaine over 60 sec, followed by 5 ml of normal saline rapid flush and then 0.25 ml (5 mg) of 2% lidocaine.
- >6 kg slowly administer 0.5 mL (10 mg) of 2% lidocaine over 60 sec, followed by 5 mL of normal saline rapid flush and then 0.5 ml (10 mg) of 2 % lidocaine.
- The Science and Fundamentals of Intraosseus Vascular Access, Including frequently asked questions. Shavano Park, TX: Vidacare Corporation; July 2012.
- HIXSON INTRAOSSEOUS LIDOCAINE GUIDELINE, copyright 2012 Richard Hixson, MD.