Cannulation and EZIO Flashcards
What’s the gauge and flow rate of an Orange cannula?
14G
270ml/min
What’s the gauge and flow rate of a grey cannula?
16G
236ml/min
What’s the gauge and flow rate of a green cannula?
18G
103ml/min
What’s the gauge and flow rate of a pink cannula?
20G
67ml/min
What’s the gauge and flow rate of a blue cannula?
22G
42ml/min
What are the contraindications of cannulation?
Trauma (DCAP-BTLS/GLADSHIP)
Disease/Deformity
Infection
Pain
Neurovascular compromise
Haematoma
Fistula
What are some possible local complications of cannulation?
Infection
Thrombophlebitis
Blood vessel damage
Nerve tendon or ligament damage
Haematoma
Extravasation
Occlusion (Clot, back-flow to IV bag)
What are some possible systemic complications of cannulation?
Allergic reaction (esp. colloids)
Circulatory overload
Air embolus
Catheter shear (plastic embolus)
Infection
What are the signs of extravasation in cannulation?
Localised oedema
Slow or no flow of IV line
Pain and tightness around IV site
When might you want to cannulate an EJV?
When IV access elsewhere is unobtainable e.g. burns, severe peripheral vasoconstriction, cardiac arrest
How many access sites are ther for IO, what are they?
6 total
2 Humeral head
2 Proximal tibia
2 Distal tibia
How do you locate the humeral head site for IO access?
Place arm across stomach and aduct, 1 finger down from the bursa. Rotate arm to confirm.
How do you locate the proximal tibia site for IO access?
2 finger down from base of patella, 2 fingers medically to flat site of tibia.
How do you locate the distal tibia site for IO access?
3 fingers up from the centre of the talus (ankle bone)
What are the 6 Fs of contraindication for EZIO access?
Failed
False
Fat
Faulty
‘Fection
Fracture
