Insertion and management of intraosseous devices: Neonatal European Vascular Access Team - ESPR Recommendation 9
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Updated: Sep 24, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Bernhard Schwaberger1, Anna Milan2, Robin van der Lee3
1Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.
Impact:
This recommendation is important as it addresses the urgent need for reliable vascular access in life-threatening neonatal emergencies when conventional methods fail. Its novelty lies in consolidating existing evidence, anatomical data, and device-specific considerations into a comprehensive, neonatal-focused guide for safe intraosseous (IO) access. By promoting standardized training, risk-based site selection, and careful technique, it has the potential to improve emergency care, reduce complications, and save lives in critically ill neonates.
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