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Insertion and management of intraosseous devices: Neonatal European Vascular Access Team - ESPR Recommendation 9

Journal
Pediatric research (Q1)
Published
22 September 2026
Study design
Unclassified
Evidence level
Level 5, Expert Opinion (CEBM 5)
Authors
Bernhard Schwaberger, Anna Milan, Robin van der Lee, Fiammetta Piersigilli, Tom Ouwehand, Suzy Van Eenoo, et al.
PMID
42773235
DOI
10.1038/s41390-026-05475-6

Why clinicians should know about it

  • Picked for Neonatology (paper of the day, 27 September 2026): Guideline for intraosseous access in neonates

Abstract

This recommendation is important as it addresses the urgent need for reliable vascular access in life-threatening neonatal emergencies when conventional methods fail. Its novelty lies in consolidating existing evidence, anatomical data, and device-specific considerations into a comprehensive, neonatal-focused guide for safe intraosseous (IO) access. By promoting standardized training, risk-based site selection, and careful technique, it has the potential to improve emergency care, reduce complications, and save lives in critically ill neonates.

Abstract as published, via PubMed.

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For healthcare professionals. The summary is generated by AI from the published abstract, and the evidence level is assigned automatically from the study design on the Oxford CEBM hierarchy. Neither is medical advice. Read the full paper before changing practice.