Paediatrics: Intracardiac injection

2021-03-05 12:00 AM

Indicated only during resuscitation when all other attempts at securing vascular access have failed.

Intracardiac injection

Indicated only during resuscitation when all other attempts at securing vascular access have failed.

Equipment

  • Alcohol impregnated swab.
  • 21G needle and syringe containing resuscitation drug.

Procedure

  • Attach needle and syringe. Flush needle with a drug to expel air.
  • Locate site: 4th intercostal space immediately lateral to the left sternal edge (immediately below the line joining the nipples).
  • Clean the site with an alcohol impregnated swab.
  • Insert needle and aspirate syringe as the needle is inserted.
  • Once blood flashes back, stop advancing.
  • Inject resuscitation drug(s).