Where Do You Place an Io

The distal tibia is the preferred site for manual insertion. The needle is inserted on the medial surface of the tibia at the junction of the medial malleolus and the shaft of the tibia, posterior to the greater saphenous vein. The proximal humerus is an alternate site.

Where should the IO line be placed?

The ideal insertion site is 1 cm above surgical neck. 2. IO drill should be placed at a 45 degree angle with the humeral head. Ensure that you have at least 5 mm left of needle length or the needle will not be long enough.

How do you know if Io is placed correctly?

A properly placed IO line must be through the cortex of the bone and situated within the marrow cavity. Standard methods for confirmation of IO placement include aspiration of bone marrow, firm placement of the IO needle into the bone, and no evidence of extravasation.