Sternal intraosseous (IO) access
Tibial intraosseous (IO) access
Download a PDF for long bone IO access
Another PDF in more detail regarding IO access I have lost count of the number of "saphenous vein cut downs" I had performed during my 15 years of medical practice.I have not done single one after coming to USA!
why?
The Government health setup in India is in a pathetic condition today., almost moribund.3 decades ago it was limping but still delivered commendable healthcare to the majority of the population.
With the advent of corporate hospitals and naked commercialization of healthcare
the Government health setup in India is on life support. some feeble attempts are made more to gain political advantage rather than real help to poor patients in rural as well as urban areas.
The various gadgets and catheters used in USA for getting vascular access was amazing to me in the early years.
While I was a pediatric surgeon, I sadly had to perform an upper extremity amputation in a small child who was given IV fluids for diarrhea using a butterfly needle.The extremity was confined on a makeshift splint and the sharp needle easily damaged the vein and mauch IV fluid got extravasated and the confining tape cut off the circulation.I can only imagine the severe pain the child must have had. Mind you this did not happen in some remote village but in the capital city of Hyderabad.
The simple technique of intraosseous (IO) access was almost never used .
a reason given was possible osteomyelitis.and the lack of simple equipment to do this.
Sternal intraosseous (IO) access
Tibial intraosseous (IO) access
Download a PDF for long bone IO access
Another PDF in more detail regarding IO access I have lost count of the number of "saphenous vein cut downs" I had performed during my 15 years of medical practice.I have not done single one after coming to USA!
why?
The Government health setup in India is in a pathetic condition today., almost moribund.3 decades ago it was limping but still delivered commendable healthcare to the majority of the population.
With the advent of corporate hospitals and naked commercialization of healthcare
the Government health setup in India is on life support. some feeble attempts are made more to gain political advantage rather than real help to poor patients in rural as well as urban areas.
The various gadgets and catheters used in USA for getting vascular access was amazing to me in the early years.
While I was a pediatric surgeon, I sadly had to perform an upper extremity amputation in a small child who was given IV fluids for diarrhea using a butterfly needle.The extremity was confined on a makeshift splint and the sharp needle easily damaged the vein and mauch IV fluid got extravasated and the confining tape cut off the circulation.I can only imagine the severe pain the child must have had. Mind you this did not happen in some remote village but in the capital city of Hyderabad.
The simple technique of intraosseous (IO) access was almost never used .
a reason given was possible osteomyelitis.and the lack of simple equipment to do this.
Sternal intraosseous (IO) access
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