critical care medicine
How To Do Intraosseous Cannulation, Manually and With a Power Drill
Introduction
Intraosseous cannulation is the placing of a sturdy needle through cortical bone and into the medullary cavity—to emergently infuse fluids and blood products into critically ill patients. Intraosseous cannulation has been most used in infants and young children, but power drill and spring-loaded devices that facilitate needle insertion through thick cortical bone have increased the use of this method in adults. The procedure is faster and more successful on first attempts than Central Venous Catheterization and can be done without interrupting (See also Vascular Access .) 