The role of nurses in the use of intraosseous vascular access devices
Extract:
“The first documented use of intraosseous (IO) vascular access devices (VADs) in the clinical setting occurred in the 1940s, nearly 20 years after the device was pioneered by Drinker and colleagues in 1922 (Arbeiter & Greengard, 1944; Papper, 1942; Petitpas et al, 2016; Tocantins et al,1941). The use of IO VADs for critically ill or injured pediatric patients was reintroduced in the mid-1980s, subsequent to publications promoting its use and highlighting the simplicity of the procedure (Iserson & Criss, 1986; Spivey, 1987). IO access was included in the recommendations of the American Heart Association Guidelines for the first time in 2005 and began to be more commonly used for pediatric cardiac arrest in prehospital and emergency department settings (Petitpas et al, 2016). Technological advances have now made possible the insertion of IO VADs in patients of all ages and sizes. IO vascular access is widely recognized as safe, fast, and effective in both the pediatric and adult populations (AHA, 2020a, p. 128; AHA, 2020b, p. 223; Gräsner et al, 2021; Nickel et al, 2024, S201-202; Petitpas et al, 2016; Phillips et al, 2010). However, IO access is underused due to lack of knowledge, training, health care policies and protocols, and availability of equipment (Cicolini et al, 2023; Iskrzycki et al, 2017; Petitpas et al, 2016).”
Reference:
Proehl JA, Campos C. The Role of the Nurses in the Use of Intraosseous Vascular Access Devices. J Emerg Nurs. 2025 Jul;51(4):515-518. doi: 10.1016/j.jen.2025.03.014. PMID: 40602838.