Users worldwide the military, emergency medical services, major teaching hospitals and nursing schools recognize gaumard products for their innovation in simulation in the prehospital, obstetrics and gynecology, surgical and nursing care segments. The manufacturer provides an age range to guide the choice of needle length, but in practice the length needed is determined by the depth of subcutaneous tissue overlying the bone at the chosen insertion site. Vidacare corporation launches iphone app to assist health. Clinical pathway for initial evaluation of diabetic ketoacidosis initiate pediatric advanced life support administer 0. Nb the weight range on ezio needle sets is a guide only and not an absolute indication that the needle is appropriate for a particular weight. The ez io intraosseous infusion system training is a youtube video by the makers of the ez io, vidacare. Different intraosseous techniques have been used by our helicopter emergency medical services hems since 2003. This prospective pilot study was conducted between may 2006 and october 2007. Use of the pediatric ezio needle by emergency medical.
Arrow ezio system distal femur site identificationinsertion. Dec 07, 2016 since 2006, 2 devices have been approved by the us food and drug administration fda for use in adult and pediatric patients. In many emergency situations rapid vascular access is a priority, particularly in cases involving haemodynamic compromise. Assistant professor of pediatrics baylor college of medicine medical staff section of critical care medicine texas children slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.
If intravenous access has failed, is inadequate, unlikely to be achieved or would significantly delay time critical treatment in the. For simple placements, cost savings for io access vs. From the departments of pediatrics, division of pediatric. Intraosseous io access reusable trainer pediatric leg 6. Arrow ez io infant child needle selection and insertion technique animation video. Ez io infant child needle selection and insertion technique. Insertion of an intraosseous needle in adults nejm. Intraosseous io access reusable trainer pediatric leg. The arrow ezio intraosseous vascular access system from teleflex is a solution in emergency situations. Nov 11, 2017 autoplay when autoplay is enabled, a suggested video will automatically play next. Semiautomatic intraosseous devices in pediatric prehospital care. The data revealed faster and more successful io catheter placement than reported for cvcs, few complications and high user satisfaction. Paediatric vascular access bja education oxford academic. Malignant hyperthermia is a pharmacogenetic disease of skeletal muscle that may precipitate a potentially fatal sequence of metabolic responses in the presence of triggering anesthetics.
Assistant professor of pediatrics baylor college of medicine medical staff section of critical care medicine. Pediatric surgery is a subspecialty of surgery involving the surgery of fetuses, infants, children, adolescents, and young adults. Intraosseous infusion io is the process of injecting directly into the marrow of a bone. Nb the weight range on ez io needle sets is a guide only and not an absolute indication that the needle is appropriate for a particular weight. Vidacare corporation launches android version of its free. Infantchild needle selection and insertion technique animation video ezio infantchild needle selection and insertion technique animation video on vimeo ezio intraosseous vascular access system.
Our io trainer stays put on the table, so you can apply the appropriate pressure needed. Vidacare corporation, san antonio, tx, it was recognized that a clinical study was needed to demonstrate device. If intravenous access has failed, is inadequate, unlikely to be achieved or. Download the most comprehensive and detailed document describing virtually every. Powered intraosseous device ezio for critically ill patients. Pediatric intraosseous leg, rightlifelike foam leg with simulated tibia designed for practicing medication and fluid administration through intraosseous infusion.
Intraosseous io access is attempted when intravenous access cannot be established during an emergency. Emergency intraosseous access in a helicopter emergency. Intraosseous infusion in a child io needle insertion youtube. Ezio is an intraosseous drill used by healthcare providers to insert a 16gauge needle into one of three anatomical locations which include. Pediatric ezio insertion pediatric insertion requires a gentle grip and a soft touch one size does not fit all consider tissue depth in needle selection be cautious of driver recoil release the trigger when you feel the lack of resistance the ezstabilizer is highly recommended on newborns and infants t430 rev, g. This technique is used to provide fluids and medication when intravenous access is not available or not feasible. Intraosseous vascular access is safe, effective and costs. Teleflex, the teleflex logo, arrow, and ezio are trademarks or registered trademarks of teleflex and its affiliates, in the u. In cases where traditional intravenous access cannot be secured, io access is a rapid, safe, and effective alternative.
Arrow ezio infant child needle selection and insertion. Review a computergenerated animation of the steps to correctly identify the proximal tibia insertion site, and establish and remove the arrow ez io intraosseous vascular access system for an. This presentation is only for pediatric specific io site location and placement. The ez io is a battery powered medical drill fitted with a trocar and io needle used to pierce the bone and insert the io needle. The most important check of correct needle length is that once the needle is. Pediatric tachycardia treatment algorithm attachment i. Using this solution, you can place immunization orders directly from the grid, or track patients with down syndrome from multiple points of access in the growth chart. Up next placement of an intraosseous line by monica kleinman, md for openpediatrics duration. Your browser does not currently recognize any of the video formats available.
After the recent introduction of a batterypowered io insertion device ezio. Infantchild needle selection and insertion technique animation video and clinical principles powerpoint presentation science and fundamentals of intraosseous vascular access 20 2nd. Dont pay hundreds of dollars for a trainer thats not stable, not hollow, not injectable, and acts more like a prop than a trainer. Arrow ez io infant child needle selection and insertion technique animation video rockhill base. However, whilst io access training forms part of compulsory paediatric resuscitation. Procedure for the insertion and care of an ezio page 5 of 22 1. Greenway healths intergy for pediatric practice is more than an ehr, its the core of a complete ambulatory solution that maximizes efficiency for your practice and patients. Intraosseous access io is a method for providing vascular access in outofhospital resuscitation of critically ill and injured patients when traditional intravenous access is difficult or impossible. After completing an initial training session, the ez io pd was deployed for use on patients. The worlds first automatic, userfriendly io device brings you safe, rapid io access for the delivery of fluids and medications at flow rates similar to peripheral iv infusion. Food and drug administrationcleared semiautomatic io access device ez io.
The nio provides safe and easy vascular access in less than 10 second when vascular access is needed for fluid and drug administration. The aim of this study was to examine emergency medical services providers use of a new intraosseous needle designed for pediatric patients. The commercial availability of the io drills has made this traditional pediatric procedure feasible for patients of all ages. Nio adult intraosseous access device persys medical. Food and drug administrationcleared semiautomatic io access device ezio.
For decades, intraosseous io access has been a standard of care for pediatric emergencies in the absence of conventional intravenous access. Jan 24, 2012 pediatric ezio insertion pediatric insertion requires a gentle grip and a soft touch one size does not fit all consider tissue depth in needle selection be cautious of driver recoil release the trigger when you feel the lack of resistance the ezstabilizer is highly recommended on newborns and infants t430 rev, g. Infantchild needle selection and insertion technique animation video ezio infantchild needle selection and insertion technique animation video on vimeo. Arrow ez io infant child needle selection and insertion. The nioa, next generation io, is an automatic, springloaded, singleuse intraosseous access device for use in the prehospital and hospital setting. After completing an initial training session, the ezio pd was deployed for use on patients. Pediatric emergency medicine practice clinical pathways. Ezio infusion system needle insertion guide attachment g. Mar 10, 2015 autoplay when autoplay is enabled, a suggested video will automatically play next. Intraosseous infusion in a child io needle insertion more.
Pyng medicals fastresponder sternal io device is safe to use in patients 12 years of age and older. Io access is an invasive procedure and should only be considered when intravenous access is not available or feasible. The ezio set consists of the intraosseous driver and a singleuse screwtipped intraosseous needle. B, after appropriate preparation of the skin, at a point 1 to 2 cm below and medial to the tibial tuberosity, the intraosseous needle is directed down and away from the epiphyseal plate. The science and fundamentals of intraosseous vascular access 2017 third edition view. After the recent introduction of a batterypowered io insertion device ez io. Indications for intraosseous io infusion are increasing in adults requiring administration of fluids and medications during initial resuscitation. Procedures to administer io infusion are relatively simple and can be taught quickly to all medical providers in military, prehospital, or hospital environments.
Pediatric bradycardia treatment algorithm attachment j. Intraosseous infusion procedure pediatric procedures. Pediatric intraosseous infusion testing station aemt nrp duration. View all training and resource videos on the teleflex emergency medicine youtube channel. Emergency medical services ems providers completed a. Intraosseous infusions allow for the administered medications and fluids to go directly into the vascular system. Ezio infantchild needle selection and insertion technique.
Ezio in paediatrics pediatric anesthesia digital handbook. Malignant hyperthermia pediatric anesthesia digital handbook. To obtain rapid circulatory access to provide necessary intravenous fluids or medications. However, this route is rarely used nowadays due to a lack of knowlegde and training. The app is now available for download at the apple itunes store and features interactive guides, videos and instructions on using the ezio to obtain intraosseous vascular access. Ez io in the pediatric patient this presentation is only for pediatric specific io site location and placement. The big device, which is more widely used outside of the united states, has a springloaded handle that injects the io needle to a preset depth. Remove catheter from patient figure 10 dress appropriately. The procedural lab program is designed to provide the unique opportunity for healthcare providers to understand and practice various procedures utilizing cadaveric specimens, simulation, alternative training materials and didactic information.
Intraosseous access in neonates, infants, and children. The labs are structured utilizing a layered educational approach that is conducive to adult learning. Intraosseous needle an overview sciencedirect topics. When you are ready to place the needle, remove the ezio driver from the case and remove the trigger guard if present. Fastresponder sternal io intraosseous infusion device. Subspecialties of pediatric surgery itself include. Unfortunately, the mean medullary diameter of the proximal tibia at the recommended site for io access is only 7 mm in a neonates and 10 mm in infants table 1. Intraosseous io cannulation is inserting a needle into a bone to allow the delivery of intravenous therapy. A message to clinicians, patients on national women and girls hivaids awareness day. For complete io insertion education, please refer to the website. Ezio ezio distal femur site identification and insertion. The ezio needles are available in three sizes based on weight. Appropriate consideration must be given to its requirements in the prehospital setting. Arrow ezio system proximal tibia site identification.
Approved for use in the pediatric patient 3 kg and hivaids awareness day. Autoplay when autoplay is enabled, a suggested video will automatically play next. Ithe tibial tuberosity cannot be palpated, locate the distal aspect of the patella. View the most comprehensive online resource for arrow ez io vascular access education, complete a brief quiz and receive a certificate for successful completion. Landmarks at the tibial tuberosity and medial malleolus facilitate proper site locatio. Traditional vascular access through the use of an intravenous cannula, although the preferred first line method, can in certain circumstances have a high rate of failure. The ezio system is indicated anytime vascular access is difficult to obtain in emergent, urgent, or medically necessary cases for up to 24 hours and provides peripheral venous access with central venous catheter performance. Pyng medical for sternal intraosseous access, the ezio. Fastresponder sternal io intraosseous infusion device pyng. The narrator states in small children, generally under the age of two years11. This provides a noncollapsible entry point into the systemic venous system.
The primary triggers for mh are inhalational anesthetics and succinylcholine. Pediatric surgery, apsa pediatric surgery library, virtual plastic surgery software vpss, and many more programs. Gaumard scientific company has designed, manufactured and marketed simulators for health care education for more than 60 years. Powered intraosseous insertion provides safe and effective vascular access for pediatric emergency.
Pediatric advanced life support unc medical center. Wed love your feedback on this ipad download please share your comments and questions in this survey. The most important check of correct needle length is. Practice intraosseous io line placement on the best quality product for the best price. Pediatric intraosseous leg, right 23100101 made by. Arrow ezio system proximal tibia site identificationinsertion. An underappreciated option for rapid access g benson, dip he journal of perioperative practice 2015 25. Equipment ez io battery powered medical drill ez io paediatric needle set, singleuse, sterile, 15 mm, pink, 3 to ez io intraosseous vascular access system from teleflex is a solution in emergency situations. The worlds first automatic, userfriendly io device brings you safe, rapid io access for the delivery of fluids and medications at. The ez io system is indicated anytime vascular access is difficult to obtain in emergent, urgent, or medically necessary cases for up to 24 hours and provides peripheral venous access with central venous catheter performance.