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Intraosseous Route as Alternative Access for Infusion Therapy

Vizcarra, Cora MBA, RN, CRNI®; Clum, Susan BSN, RN, CRNI®

doi: 10.1097/NAN.0b013e3181d9c7cf
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The safe and effective use of intraosseous (IO) access is evolving from its historical use only for emergent access for pediatric patients to use in adult trauma patients and, more recently, for adult inpatients. Current data and research support the use of IO route for infusion in patients of any age as a safe, rapid, and equally effective alternative to intravenous access. The article provides an overview of IO access indications, care, and management; describes therapies administered via IO access; and discusses the expanding use of IO access into areas within hospitals during nonemergent clinical situations.

The safe and effective use of intraosseous (IO) access is evolving from its historical use only for emergent access for pediatric patients to use in adult trauma patients and, more recently, for adult inpatients. Current data and research support the use of IO route for infusion in patients of any age as a safe, rapid, and equally effective alternative to intravenous access. The article provides an overview of IO access indications, care, and management; describes therapies administered via IO access; and discusses the expanding use of IO access into areas within hospitals during nonemergent clinical situations.

President, MCV & Associates Healthcare Inc (Ms Vizcarra); Infusion Nurse Educator, MCV & Associates Healthcare Inc (Ms Clum).

Corresponding Author: Cora Vizcarra, MBA, RN, CRNI®, MCV & Associates Healthcare Inc, PO Box 68194, Indianapolis, IN 46290 (cvpres@mcvassociates.com).

Cora Vizcarra is an infusion nurse consultant and president of MCV & Associates Healthcare Inc., a health care consulting company based in Indianapolis, IN. She has more than 20 years of infusion therapy experience, including the use of IO access in various health care settings. She was the past president of the Infusion Nurses Society (2008–2009) and is currently serving as the Presidential Advisor for INS.

Susan Clum was an infusion nurse consultant with MCV & Associates Healthcare Inc.

© Copyright 2010 by the Infusion Nurses Society