Introduction of new safety technologies into central venous access

Gerstein, Neal S.; Martin, Hugo; Toma, Grigore; Sibbitt, Randy R.; Sibbitt, Wilmer L.

doi:10.1016/j.jclinane.2008.09.010

Cited by 5 publications

(7 citation statements)

References 8 publications

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“…Using tubing with a 20 ml syringe, 1 ml, 2 ml, and 3 ml of tubing deadspace reduces vacuum achievable by 3%, 8%, and 12% respectively. Vacuum intensity is probably not important for vascular access or fluid aspiration procedures, but it is important for biopsy [14,31,38,48,50]. Thus, if the tubing technique is used, low deadspace tubing and/or a 20 ml syringe device should be used to minimize the effect of deadspace on vacuum intensity.…”

Section: Discussionmentioning

confidence: 99%

Syringe and Needle Size, Syringe Type, Vacuum Generation, and Needle Control in Aspiration Procedures

Haseler

Sibbitt²,

Sibbitt

et al. 2010

Cardiovasc Intervent Radiol

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Purpose Syringes are used for diagnostic fluid aspiration and fine needle aspiration biopsy (FNA) in interventional procedures. We determined the benefits, disadvantages, and patient safety implications of syringe and needle size on vacuum generation, hand force requirements, biopsy/fluid yield, and needle control during aspiration procedures. Materials and Methods Different sizes (1, 3, 5, 10, and 20 ml) of the conventional syringe and aspirating mechanical safety syringe, the reciprocating procedure device (RPD), were studied. 20 operators performed aspiration procedures with the following outcomes measured: 1) vacuum (Torr), 2) time to vacuum (seconds), 3) hand force to generate vacuum (Torr-cm2), 4) operator difficulty during aspiration, 5) biopsy yield (mg), and 6) operator control of the needle tip position (mm). Results Vacuum increased tissue biopsy yield at all needle diameters (p < 0.002). 20 ml syringes achieved a vacuum of −517 Torr, but required significantly more strength to aspirate, and resulted in significant loss of needle control (p<0.002). The 10 ml syringe generated only 15% less vacuum (−435 Torr) than the 20 ml, and required much less hand strength. The mechanical syringe generated identical vacuum at all syringe sizes with less hand force (p<0.002), and provided significantly enhanced needle control (p<0.002). Conclusions To optimize patient safety and control of the needle and maximize fluid and tissue yield during aspiration procedures, a two-handed technique and the smallest syringe size adequate for the procedure should be used. If precise needle control or one-handed operation is required, a mechanical safety syringe should be considered.

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Section: Discussionmentioning

confidence: 99%

Syringe and Needle Size, Syringe Type, Vacuum Generation, and Needle Control in Aspiration Procedures

Haseler

Sibbitt²,

Sibbitt

et al. 2010

Cardiovasc Intervent Radiol

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“…La veine jugulaire interne (VJI) est fréquemment utilisée. La pose de la voie veineuse est souvent faite « à l'aveugle », utilisant des repères ostéo-musculaires de surface [3, 9]. Le rapport intime entre VJI et axe carotidien explique 0,5 à 11,4% des plaies carotidiennes qui surviennent lors du cathétérisme veineux jugulaire interne [1, 2, 6, 8].…”

Section: Discussionunclassified

“…Le rapport intime entre VJI et axe carotidien explique 0,5 à 11,4% des plaies carotidiennes qui surviennent lors du cathétérisme veineux jugulaire interne [1, 2, 6, 8]. Les conséquences de cette plaie sont représentées par le choc hémorragique, le pseudo-anévrysme, la fistule artèrio-veineuse, la dissection et les manifestations compressives notamment respiratoires [2, 3, 9]. Certaines peuvent être dramatiques.…”

Section: Discussionunclassified

“…Les facteurs favorisant ces complications hémorragiques lors du cathétérisme VJI sont les troubles de l'hémostase, un traitement anticoagulant, la difficulté d'insertion du cathéter (multiples ponctions veineuses et ponction artérielle), un cou court, l'obésité, l'inexpérience de l'opérateur et le contexte d'urgence [2, 4, 6, 10]. Certains auteurs ont montré que l'utilisation du guidage échographique réduit les risques de complications iatrogènes du cathétérisme VJI [1, 3, 5, 6, 9]. Cependant, la disponibilité d'un appareil d'échographie n'est pas toujours effective en milieu de réanimation dans nos structures.…”

Section: Discussionunclassified

See 1 more Smart Citation

Plaie iatrogene de l’artere carotide commune secondaire à un catheterisme veineux jugulaire interne

Lame¹,

Loum²,

Keita³

et al. 2017

Pan Afr Med J

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“…In the present study, only two patient safety devices, the RPD and the Procedur-SF mechanical syringes, were used; these devices have been demonstrated to enhance needle control, to permit controlled aspiration and injection, and to improve injection outcomes while reducing procedural pain and needle complications, including hemorrhage 34,[41][42][43][44][45][46][47][48][49][59][60][61][62][63] (Figs. 1 through 3) (see Appendix).…”

Section: Discussionmentioning

confidence: 99%

Safety Syringes and Anti-Needlestick Devices in Orthopaedic Surgery

Sibbitt

Band

Kettwich

et al. 2011

Journal of Bone and Joint Surgery

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The most effective and reliable safety devices for orthopaedic syringe procedures are shielded safety needles, mechanical syringes, manual retractable syringes, and shielded syringes, but not automatic retractable syringes. Even when adopting safety-engineered devices for an orthopaedic clinic, conventional syringes larger than 20 mL and conventional needles longer than 1.5 in (3.8 cm) are necessary.

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Introduction of new safety technologies into central venous access

Cited by 5 publications

References 8 publications

Syringe and Needle Size, Syringe Type, Vacuum Generation, and Needle Control in Aspiration Procedures

Syringe and Needle Size, Syringe Type, Vacuum Generation, and Needle Control in Aspiration Procedures

Plaie iatrogene de l’artere carotide commune secondaire à un catheterisme veineux jugulaire interne

Safety Syringes and Anti-Needlestick Devices in Orthopaedic Surgery

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