{"title":"Intraosseous cannulation in children","authors":"Victoria Bewick, Christopher WM. Horner","doi":"10.1016/j.mpaic.2026.08.003","DOIUrl":null,"url":null,"abstract":"<div><div>In an emergency situation when intravenous (IV) access cannot be rapidly achieved, the intraosseous (IO) route is recommended in order to infuse medications and fluids. Specifically designed needles make this technique quick, easy and safe. This article describes the anatomy and physiology relevant to IO cannula insertion, as well as indications and contraindications for IO use. The variety of devices available and the techniques for their use in the paediatric population are discussed.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"27 10","pages":"Pages 608-612"},"PeriodicalIF":0.6000,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029926001669","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/9/21 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
In an emergency situation when intravenous (IV) access cannot be rapidly achieved, the intraosseous (IO) route is recommended in order to infuse medications and fluids. Specifically designed needles make this technique quick, easy and safe. This article describes the anatomy and physiology relevant to IO cannula insertion, as well as indications and contraindications for IO use. The variety of devices available and the techniques for their use in the paediatric population are discussed.
期刊介绍:
Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.