I use the Secalon T in preference to the Wallace cannula for rapid access
(extra advantage of a little switch on it). Subclavian access (because I
worry about arterial cannulation if I can't fell the artery- having hit a
few arteries in patients with pulses in the past) rather than internal
jugular in the pulseless patient (not hypovolaemic patients, where I tend to
go for a femoral or cutdown). If you do these regularly, they're no slower
to place than a peripheral line and less likely to dislodge than an external
jugular. No reason why you couldn't use a Secalon for an external jugular.
If you look through archives, there was a debate about this a few months
back (started when I thought it was the Secalon, not the Wallace that was
discontinued).
Matt Dunn
Warwick
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