Where to find our EZ-IO System?
EZ-IO System is can be immediately available on request from the PICU (6-5007) and from the ER.
If EZ-IO is unavailable
The Pediatric Anesthesia Carts are stocked with COOK MEDICAL Dieckmann Pediatric Intraosseous Infusion Needles. They come in 2 sizes 18G/4cm and 16G/3cm
Sites Selection for Intraosseous Needle Insertion
In Infants and Children younger than 6 yrs:
In Children 6 yrs and over. After 6 years of age, the cortex becomes progressively thicker and harder to penetrate.
Procedure for EZ-IO Insertion
Procedure for EZ-IO Removal
What can be Infused via the IO Route?
Any medication that can be administered via a peripheral IV can be safely administered via IO. This includes all resuscitation medications, crystalloids, colloids and blood products.
For how long can IO Access be safely maintained?
It can be maintained for 24–48 hours, after which another route of access should be obtained.
Laboratory Analysis / Blood Sampling
IO Blood has proved to be reliable for the following tests:
Links of Interest
Tufts Medical Center
Tufts Children's Hospital
American Board of Anesthesiology (ABA)
American Society of Anesthesiologists (ASA)
Society for Pediatric Anesthesia (SPA)
Accreditation Council for Graduate Medical Education
ASA Guidelines, Statements and Practice Advisories
Malignant Hyperthermia Association of the United States
AnesthesiaHub - The Central Resource of Anesthesiology
New Innovations Login
Tufts Medical Center Webmail
Tufts Hirsh Health Sciences Library