Intraosseous Vascular Access in Radiology: Review of Clinical Status

Abstract

Objective: Paramedics and hospital-based providers occasionally need to place intraosseous devices to obtain vascular access in critically ill patients. Diagnostic radiologists must be prepared for the emergent administration of iodinated contrast media via the intraosseous route, and interventional radiologists should be familiar with the potential clinical uses of such access.

Conclusion: We present a protocol for the administration of iodinated contrast media through the intraosseous route. We also highlight the clinical and radiologic aspects of intraosseous access.

Keywords: American College of Radiology contrast manual; central venous access; contrast media; guidelines; intraosseous access; iodinated contrast media; trauma.