Intraosseous infusion. An important technique also for paediatric anaesthesia

摘要: Timely establishment of venous access in infants and toddlers can prove a particularly challenging task. Since the 1940s technique intraosseous infusion has established itself as valuable alternative means for rapid, efficient safe delivery drugs fluids to critically ill children. Whereas international guidelines paediatric emergency medical care have assigned high priority, most anaesthetists utilize this well-proven with great reluctance. This article describes infusion, introduces two different cannulation systems, discusses its potential indications anaesthesia, based on current well some our own case studies. In particular, children acutely life-threatening conditions, such circulatory arrest, laryngospasm, acute airway haemorrhage, hypovolaemic shock or hypothermia secondary extensive burns, should receive an cannula if intravenous cannot be rapidly established. Future discussion may reveal whether transiently inserted would also indicated child difficult impossible presents without conditions anaesthesia. Successful application requires immediate necessary equipment, intensive education, continuous training clear anaesthesia department.