Indications Of Intrameloskeletal Blood Access Puncture Needle

Indications include: (1) failed attempts to establish intravenous fluids; (2) Batch injured and sick patients in urgent need of establishing infusion channels; (3) Infusion access for cardiopulmonary resuscitation. The success rate of bone marrow puncture needle can reach 80% ~ 97%.

Commonly used puncture sites reported in literature are tibia, iliac crest, sternum, etc., while humerus, femur, clavicle and medial malleolus of tibia are also selected according to personal experience. Adults often choose the upper tibia, and the most common puncture point is about 3 cm below the tibia platform. Studies have shown that the distal tibia, the distal femur and the proximal humerus can also be used as infusion sites, and the efficacy is similar to that of the vein. Iliac crest, sternum and clavicle, which are rich in red bone marrow, can also be used, but they are not as convenient as long limbs and have a high success rate. In conclusion, as long as it can enter the bone marrow cavity, the bone marrow cavity access needle can be established in many places.