Dave Geggie1, Deborah Moore. 1. Emergency Medicine, A&E Department, Warrington General Hospital, Lovely Lane, Warrington, Cheshire, UK. david.geggie@nch.nhs.uk
Abstract
OBJECTIVE: To determine if peripheral intravenous cannula dead space is taken into account when setting up intravenous infusions (in particular nitrate infusions) in the emergency department. METHOD: A postal survey of UK emergency departments. RESULTS: Of the 143 (58%) of UK departments who responded, only 15% reported priming the cannula before commencing the nitrate infusion. CONCLUSIONS: Knowledge of peripheral intravenous cannula dead space in UK emergency departments is very poor and, as a result, there is probably significant widespread under treatment of patients in severe cardiogenic pulmonary oedema. Departments should amend their treatment guidelines to take account of peripheral cannula dead space.
OBJECTIVE: To determine if peripheral intravenous cannula dead space is taken into account when setting up intravenous infusions (in particular nitrate infusions) in the emergency department. METHOD: A postal survey of UK emergency departments. RESULTS: Of the 143 (58%) of UK departments who responded, only 15% reported priming the cannula before commencing the nitrate infusion. CONCLUSIONS: Knowledge of peripheral intravenous cannula dead space in UK emergency departments is very poor and, as a result, there is probably significant widespread under treatment of patients in severe cardiogenic pulmonary oedema. Departments should amend their treatment guidelines to take account of peripheral cannula dead space.
Authors: Sonia Pinkney; Mark Fan; Katherine Chan; Christine Koczmara; Christopher Colvin; Farzan Sasangohar; Caterina Masino; Anthony Easty; Patricia Trbovich Journal: Ont Health Technol Assess Ser Date: 2014-05-01
Authors: F M Buyle; J Decruyenaere; J De Waele; P M Tulkens; T Van Audenrode; P Depuydt; G Claeys; H Robays; D Vogelaers Journal: Eur J Clin Microbiol Infect Dis Date: 2012-12-28 Impact factor: 3.267