Quote from soonstudent
i work in a level 1 trauma center. what iv access and sites do you use for rapid infusion (level 1)? it seems some nurses and residents i work with think you can only infuse through a cordis in the sc. i realize this is the best case scenario, but why couldn't you infuse through a 18ga in the ac, or a tlc in the sc? i have found some literature saying this was ok but was looking for some real world experience. thanks
i've used the level 1 infuser though all of the above types of accesses, and never had a problem. important thing would be to watch the site closely, esp for a piv.
we usually used it through a cordis (usually fem, 'cause in those patients, the subclavian cordis usually had a pa catheter in it), but only becasue you will be able to achieve the highest infusion rates. but triple lumens work well (though not as fast), as do 18g and larger ivs that flush easily.
if you are using the level 1, you probably arn't going far, and keeping an eye on the iv site shouldn't be hard
of course, it would be very ugly to be using the level 1 though a piv and infiltrate a unit of blood through it (or a liter of fluid), maybe that is where they are coming from?