Decision-Making for Intraosseous Infusion

Decision-making related to the placement of intraosseous (IO) infusion catheters can depend upon a wide variety of factors, including patient-specific and provider-specific considerations, as well as characteristics of the IO device that may make the device more or less appropriate for specific clinical conditions. This chapter explores some of the considerations that must be made when deciding upon the need for an IO catheter, as well as circumstances unique to the clinical encounter that can help providers to make decisions ensuring that the right device is used for the right patient in the right situation. Common mistakes and pitfalls with IO placement and infusion are discussed, as well as specific solutions to the problems faced by acute care clinicians when using these devices.