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N Engl J Med. 2014 Jun 12;370(24):e35. doi: 10.1056/NEJMvcm1211371.

Videos in clinical medicine. Insertion of an intraosseous needle in adults.

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From the Sunnybrook Health Sciences Centre, University of Toronto, Toronto.


Intraosseous needle insertion is used as a temporary measure when intravascular access cannot be achieved through peripheral or central venous routes. The intraosseous needle may remain in situ for 72 to 96 hours, but it is best removed within 6 to 12 hours, as soon as an alternative site of intravascular access has been established. The intraosseous route provides fast and reliable vascular access in emergency medical situations. The use of the appropriate technique will ensure that the procedure is performed as safely and effectively as possible.

[Indexed for MEDLINE]

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