Placement of 10-gauge Catheter by Cutdown for Rapid Fluid Replacement

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Abstract
The establishment of immediate venous access and rapid fluid administration remains of paramount importance in the treatment of hypovolemic shock [patients]. A technique for placement of a recently available 10-gauge catheter via venous cutdown is described. This technique is simpler and quicker than placing i.v. tubing directly into the vein. Flow rates through the catheter with both saline and blood are equivalent to rates obtained through i.v. extension tubing. Use of wide-bore i.v. tubing (urology irrigating tubing) instead of standard i.v. tubing allows for much higher infusion rates through the 10-gauge catheter. With the wide-bore tubing and pressure infusion, it is possible to administer 1200 cc of blood/min through this catheter.

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