Ian,
I have always used standard peripheral cannulate for external jugular
vein cannulation with no problems.
For the record, RC(UK) do not say that new central lines can not be
inserted. Naturally, if a line is already indwelling then it is common
sense that it will be used first. If the practitioner possesses the
requisite skills then a central line will confer the benefits of speed
of access of drugs to the circulation. I have certainly been known to
insert an internal jugular line in preference to a peripheral line
before now during CPR. Naturally, none of this should take precedence
over prompt defibrillation where necessary, or interfere with quality
BLS.
If the Wallace cannula is the one I am thinking of, I used to use this
for INTERNAL jugular cannulation in cardiac arrest. If it is now demised
then I will mourn its passing, as it was a useful bit of kit.
Regards
Andy
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of ian.wilson
Sent: 27 May 2003 07:25
To: [log in to unmask]
Subject: Wallace flexihub internal jugular canulae
My NHS Supplies department has advised that these are no longer stocked,
possibly obselete & not produced by Portex anymore. I can't find any
alternative.
The Wallace canula is a single lumen long "over-the-needle" canula with
a
thin sheath to allow handling during insertion without contaminating the
canula. The flexi-hub can be squeezed to occlude the cannula when
connecting
up to the giving set or three-way tap.
We use the 16G version, usually now for external jugular access.
Resus Council advises use of existing central lines but not insertion of
new
central lines during CPR.
Is everyone happy with standard Venflons for external jugular access or
are
there alternatives?
Ian Wilson
Resus Officer
Lincoln
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