ABSTRACT

This chapter provides information for accessing the pediatric intraosseous to inserting the needle. It begins with a case scenario of a two young boys who’s present with severe dehydration after 3 days with gastroenteritis. The chapter then includes details on indications, contraindications, and information about supplies and technique. Pearls and pitfalls are also incorporated, providing additional insights and practical advice not always available in other textbooks or articles." Intraosseous access is for emergency use only; once the patient is stabilized, other access should be obtained. In case the distal femur is needed for bone marrow access, it is best to prepare and drape the entire medial leg near the knee. Osteomyelitis and compartment syndrome can occur rarely. Treat these with long-term antibiotics or fasciotomy, respectively.