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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). [3] Intraosseous infusion-- needle insertion into anterior tibia
In emergency situations when peripheral access cannot be easily achieved, such as in arrest scenarios, intraosseous methods can be used to gain rapid access to the venous system. These methods usually involve inserting an access device into the tibia or femur bones in the legs, humerus in the upper arm, or sometimes the sternum in the chest. [2 ...
Intraosseous infusion (into the bone marrow) is, in effect, an indirect intravenous access because the bone marrow drains directly into the venous system. This route is occasionally used for drugs and fluids in emergency medicine and pediatrics when intravenous access is difficult.
Intraosseous access is commonly obtained by inserting a needle into the bone marrow of the humerus or tibia, and is generally only considered once multiple attempts at intravenous access have failed, as it is a more invasive method of administration than an IV. [17]
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Port access requires specialized equipment and training. Ports are typically used on patients requiring periodic venous access over an extended course of therapy, then flushed regularly until surgically removed. If venous access is required on a frequent basis over a short period, a catheter having external access is more commonly used. [1]
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