I put my first real live one in at a cardiac arrest of a 6 week old. In fact technically I put it in and it tissued into the calf.
I’ve put in a few since (though probably still single figures), all of them in arrest situations.
It’s a different story when the kid is still screaming at you. I once dealt with a 2 week old with sepsis who was grey and floppy but at least still able to move a bit. After 10 mins of poking with cannulas I turned down the paeds reg suggestion to phone anaesthetics to try for an IV and said we just needed to do an I/O.
So the I/O goes in fine and give the fluid bolus and we’re wondering why we didn’t just put the damn thing in 10 mins ago?
Despite all the teaching and all the encouragement, I (and most people i’ve worked with) get a bit twitchy when it comes to I/O. There’s some kind of emotive, cognitive block in there somewhere.
Even in my very limited experience with both traditional I/O and the drills I think the drills would stop us endlessly poking hopelessly in some kids ante-cubitial fossa. Though it is a good way to get an art line…
In adults we have US for venous access and I’ll try and post on that sometime
Here’s some of the more interesting YouTube vids on it.
anyone name the vessel that lights up?
i love how relaxed everyone is pretending to be
and i know it’s not a drill but it’s fun to watch (skip to 1:30 for the action)
UPDATE – Cliff Reid as just posted a paper studying the utility (or one might argue lack of utility) of the sternal device used in the video.
Anyone used these in the real world yet?
No-one has ever (or will ever) given me any money in relation to this but if they wanted to give me a drill I’d fancy having a go hanging pictures with it