Walle2014

Hi everyone, I am a new grad hired into PICU/critical care. Today my preceptor and I were discussing how to set up a manifold for central lines using three way stop cocks. I understand the rationale behind using this for running several medications in one lumen, but I was lost as we went over the actual mechanics of how to set it up. I felt like when I put one together and got it all primed that there was a lot of air introduced into it that I could not get out. Am I missing something? What is your guys methods for setting up manifolds in this fashion? We also talked about "double pumping" medications such as epinepherine. It was explained that you have an extra port so as you turn one off you can immediately turn one on so the patient doesn't experience a lag in med administration, but how do you achieve this when the actual manifold needs to be replaced on the lumen carrying this medication? Thank you all very much!

Hi everyone, I am a new grad hired into PICU/critical care. Today my preceptor and I were discussing how to set up a manifold for central lines using three way stop cocks. I understand the rationale behind using this for running several medications in one lumen, but I was lost as we went over the actual mechanics of how to set it up. I felt like when I put one together and got it all primed that there was a lot of air introduced into it that I could not get out. Am I missing something? What is your guys methods for setting up manifolds in this fashion? We also talked about "double pumping" medications such as epinepherine. It was explained that you have an extra port so as you turn one off you can immediately turn one on so the patient doesn't experience a lag in med administration, but how do you achieve this when the actual manifold needs to be replaced on the lumen carrying this medication? Thank you all very much!