ez-io in the pediatric patient
DESCRIPTION
EZ-IO in the Pediatric Patient. This presentation is only for Pediatric specific IO site location and placement. For complete IO insertion education, please refer to the website www.vidacare.com. Insertion sites. Proximal Humerus. Proximal Humerus. Proximal Tibia. Proximal Tibia. - PowerPoint PPT PresentationTRANSCRIPT
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EZ-IO in the Pediatric Patient
• This presentation is only for Pediatric specific IO site location and placement. For complete IO insertion education, please refer to the website www.vidacare.com
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Insertion sites
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Proximal Humerus Proximal Humerus
Proximal Tibia Proximal Tibia
Distal Tibia Distal TibiaT- 509
Proximal tibia
• 2 fingerbreadths below base of patella and 1 fingerbreadth medial
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Proximal tibia
• Pinch the sides of the tibia bone between your fingers and isolate the proximal tibia
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Ability to locate accurate site on proximal tibia
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If Tibial Tuberosity cannot be palpated
then find base of patella
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Ability to locate accurate site on distal tibia
• Place one finger directly over the medial malleolus
• Move 2 fingerbreadths proximal
• Palpate anterior and posterior tibia borders to confirm the flat center aspect of the bone
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Proximal humerus
• Should only be used in patients whose landmarks can clearly be identified
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surgical neck
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Elbow should remain adducted & posteriorly located
Place the hand over the umbilicus for humeral positioning
and safety
Ability to locate accurate site on proximal humerus
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Ability to locate accurate site on proximal humerus
• Use the thumb to palpate up the humerus until a notch/groove is felt
• Insertion site is approximately 1 cm above the site. At the most prominent point
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Pediatric EZ-IO insertion sites
Proximal Tibia Distal Tibia Proximal Humerus11T- 509
STEP-BY-STEP PROCEDURE
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• Chose appropriate insertion site
• Identify the site by palpation
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• Primary Consider tissue depth PRIOR to bone insertion
• Chose appropriate needle - 15, 25 or 45 mm
• Special situations– Excessive soft tissue– Excessive muscle tissue– Edema
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• Prime EZ-Connect with Saline
• Consider Lidocaine* if awake
• Clean insertion site with antiseptic
• Place needle on driver
• Remove needle safety cap
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• Press needle set through skin until tip touches bone
• At least 5 mm of the cathether must be visible
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• Squeeze Driver trigger
• Apply gentle, steady pressure
• Immediately release trigger when sudden ”give” or ”pop” is felt - indicates entry into the medullary cavity
• STOP WHEN YOU FEEL THE POP
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• Remove Driver and stylet
• Use of stabilizer is strongly recommended for pediatrics
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• Attach primed EZ-Connect
• Flush with normal saline NO FLUSH. NO FLOW.
• For patients responsive to pain,consider administering 2% lidocaine prior to flush
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• Confirm placement with at least 3 of 4 methods– Stability of catheter– Ability to aspirate– Physiological or
pharmacologic changes
– Adequate flow rate
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• Apply EZ-IO wristband
• Do not leave catheter inserted for more than 24 hours
• NOTE!Monitor insertion site frequently for extravasation
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