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Updated: Jun 20, 2026
06:59
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
[Intraosseous infusion. An important technique also for paediatric anaesthesia]
1Anästhesieabteilung, Universitäts-Kinderkliniken Zürich, Zürich, Schweiz. markus.weiss@kispi.uzh.ch
Der Anaesthesist
|September 4, 2009
Summary
Intraosseous infusion offers rapid, safe fluid and drug delivery for critically ill children when intravenous access is difficult. Despite its proven benefits and high priority in guidelines, anaesthetists hesitate to use this vital emergency technique.
Area of Science:
- Pediatric Emergency Medicine
- Anesthesiology
- Critical Care
Context:
- Establishing venous access in infants and toddlers is challenging.
- Intraosseous infusion has been a reliable alternative since the 1940s.
- International guidelines prioritize intraosseous infusion for pediatric emergencies.
Purpose:
- To describe the intraosseous infusion technique and cannulation systems.
- To discuss indications for intraosseous infusion in pediatric anesthesia.
- To review current guidelines and case studies.
Summary:
- Intraosseous infusion provides rapid, efficient, and safe delivery of fluids and drugs to critically ill children.
- It is indicated when intravenous access is difficult or impossible, especially in life-threatening conditions.
- Successful use requires equipment, education, training, and clear departmental guidelines.
Impact:
- Encourages wider adoption of intraosseous infusion by anaesthetists.
- Improves emergency care for pediatric patients requiring rapid vascular access.
- Highlights the need for standardized training and protocols in anesthesia departments.
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