Intraosseous blockade - is a medical procedure in which the anaesthetic is injected into the bone marrow to block the receptors.
Therapeutic intraosseous blockade is a special kind of blockade. Intraosseous blockade is carried out according to the method developed by prof. E.L. Sokov (1985, 1996, 2002).
Administration of drugs directly into the bone marrow can influence the intraosseous vertebral blood flow and intraosseous receptors. The method of intraosseous drug administration into the bone marrow is well known and is a type of intravenous administration. It is used for administrating the large amounts of fluids and blood products, intraosseous anaesthesia in radiological diagnostic techniques.
Intraosseous blockade is carried out in the most painful areas, namely in the segmental bone formation - spine and coracoid process of the scapula, the head of the humerus, styloid process of the ulnar, sternum, anterior and posterior upper iliac spine, the greater trochanter of the femur, head of fibula, spinous processes of the vertebrae.
Intraosseous blockade is carried out 2-3 times per week, on a rate of 4-6 blockades depending on their effectiveness and severity of pain.
For intraosseous blockade we use disposable spinal needle.
For intraosseous blockade we use the mixture of lidocaine 1% - 8 ml, 1-2 mg of dexamethasone solution, autologous bone marrow - 2-3 ml.
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.