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Sat Mar 24 11:09:19 GMT 2007

"... Traditional IO is out ..."

This is a silly assertion, and evidence that the vendors have won.

For a great many applications -- certainly most of those arising in
preadolescents, a simple and relatively cheap "traditional" (e.g., Jamshidi
or Cook) intraosseous needle will do nicely.  

Why is it so easy to be seduced by gizmos and branding and vibrating
handles?

Pret

What evidence???

As I said, it is very rare for IV access to fail BUT when it does an
appropriate technique (such as BIG and FAST 1 – with a controlled
insertion/placement) has a place rather than using “torture-like” methods of
traditional IO (which I have used before and REFUSE to use any longer when
other more appropriate methods are available.)

I made no distinction about IO being relevant for pre-adolescents (where IO
has had most of the emphasis placed on its use in the past.)

I do not get seduced by gizmos or branding. Just because something new comes
onto the market and is potentially interesting does NOT mean I would
advocate its use on a patient. Such use would have to have a clearly defined
role and must be in the patient’s best interests.

Talking about branding
..obviously Cook and Jamshidi have no branding
either??!!

As for cost
.here in the U.K. – a Cook needle is £36.95 and a BIG is £39.00
– so obviously the Cook needle is not cheap and therefore cost is not an
issue.

Matthew Reeds

Surgery

U.K.

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