In this section
Intraosseous (IO) access is an effective route for fluid resuscitation, drug delivery and laboratory evaluation that may be attained in all age groups and has an acceptable safety profile.
Local anaesthesia may be required if the patient is conscious.
Most laboratory tests cannot be performed on aspirated bone marrow as the particulate matter may block and damage laboratory equipment
For urgent transfusion support in the absence of a pretransfusion blood sample (not bone marrow) - universal donor products (Group O blood cells, Group AB plasma) will be issued
Aspirated bone marrow is suitable for blood culture bottles, bedside glucometers, and handheld I-STAT instruments
Intraosseous infusion should be limited to emergency resuscitation of the child and discontinued as other venous access has been obtained.