The methodology of intraosseous blockades - Pain Clinic

Go to content

Main menu:

The methodology of intraosseous blockades



Intraosseous blockade is carried out in the treatment room with all the rules of aseptic and antiseptic. For the blockade we use disposable spinal needle.

Intraosseous blockade is carried out according to the method developed by prof. E.L. Sokov (1985, 1996, 2002).

   Determine the most painful bone protrusion, 0.5% lidocaine infiltration produced by layers of soft tissue anaesthesia of the skin to the periosteum. Then, through the intramuscular needle the intraosseous needle is inserted along with the stylet upto the periosteum, which is then inserted to a depth of 0.5-1.0 cm in the bone marrow. Stylet is removed from the needle, the needle is connected to a syringe with a drug mixture of 1% lidocaine and 2.4 mg of dexamethasone. About 4.2 ml of autologous bone marrow is aspirated into the syringe.  Mixing the contents of the syringe and in approximately 20-30 seconds occurs haemolysis and the new mixture is introduced intraosseously.

   In most patients during the first 15-60 seconds after the initiation of drug mixture into the bone marrow, there is the phenomenon of "recognizable pain."

   For intraosseous blockade we use the mixture of lidocaine 1% - 8 ml, 1-2 mg of dexamethasone solution, autologous bone marrow - 2-3 ml.

   A needle of 10 ml syringe with a drug preparations, was introduced into the bone marrow, aspiration was done without removing the needle, the syringe was stirred, then, the resultant mixture was introduced intraosseously.

   With a history of intolerance or contraindication to the drug being used as a part of the blockade mixture then it is replaced by another group of drug.

Stages of intraosseous blockade

Antiseptic treatment of the skin



Conducting the infiltration anesthesia


Trepanation of bone


Carrying out aspiration


Introduction of drug mixtures intraosseously



Aseptic bandage


Main | About clinic | What do we treat | Author's technique | Services | Science and education | Contacts | General Site Map

© 2003-2016 Moscow     Pain Clinic

Any reproduction of materials without wrtitten permission of the owner is Prohibited!

Рейтинг@Mail.ru

Webmaster and administrator - Aleksandr Nesterov, newnestor@mail.ru Translator - Neha Meher

Back to content | Back to main menu