The versatility of intraosseous vascular access in perioperative medicine: a case series

• A case series detailing perioperative intraosseous line use by anesthesiologists
• A proposed vascular access algorithm for anesthesiologists
• A guide for perioperative management of intraosseous vascular access

Intraosseous vascular access is a time-tested procedure that is reemerging in popularity. This is primarily a result of the emphasis on intraosseous access in the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Advanced Cardiac Life Support. Modern intraosseous insertion devices are easy to learn and use, suggesting the possibility of use beyond the resuscitation setting. We present a case series of recent intraosseous insertions for a variety of indications by anesthesiologists at our institution to demonstrate the potential utility of this alternative access technique.