What is the role of intraosseous cannulation in the management of dehydration?

Updated: Dec 07, 2018
  • Author: Lennox H Huang, MD, FAAP; Chief Editor: Timothy E Corden, MD  more...
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Answer

Intraosseous cannulation can be easily and rapidly achieved in children younger than 6 years. Specially designed intraosseous infusion needles or Jamshidi-type bone marrow aspiration needles may be used. Short large-bore spinal needles may also be used but often bend during placement. The ideal site of insertion is the anteromedial surface of the tibia, 1-3 cm below the anterior tibial tuberosity. Care must be taken to avoid injury to the physeal growth plate.


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