In emergency situations, intravenous (IV) access can be difficult to obtain. Nurses often lose time trying to insert peripheral IVs, and insertion of central venous catheters may be initiated. However, intraosseous (IO) access is a faster and safer option, with less chance of complications, when inserted by trained personnel. For more information:
Dolister M, et al. Intraosseous vascular access is safe, effective and costs less than central venous catheters for patients in the hospital setting. Journal of Vascular Access. 2013 Jul-Sep;14(3): 216-224. PMID: 23283646.
Leidel B, et al. Is the intraosseous access route fast and efficacious compared to conventional central venous catheterization in adult patients under resuscitation in the emergency department? A prospective observational pilot study. Patient Safety in Surgery. 2009 Oct;3(24).
Perron C. Intraosseous infusion [Internet]. 2017.
Petitpas F, et al. Use of intra-osseous access in adults: A systematic review. Critical Care. 2016;20(102).
Phillips L, et al. Recommendations for the use of intraosseous vascular access for emergent and nonemergent situations in various health care settings: A consensus paper. Crit Care Nurse. 2010;30(6): e1-e7. PMID: 21078467.