[optimal] Re: When to remove needle
- From: "Eric Kegley" <ekegley@xxxxxxxxxxxxxxxxx>
- To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
- Date: Thu, 9 Jun 2011 15:14:11 -0500
We typically "deneedle" the patient after the early phase of the angiogram,
approx. 1 minute after the start of the injection. I personally have done close
to 60000 FA's without complications in the last 18.5 years.
EK
Eric Kegley, CRA, COA
Retina Consultants of Houston
6560 Fannin St., #750
Houston, TX 77030
Sent from my Palm Pre on AT&T
On Jun 9, 2011 2:46 PM, Peterson John C <JPeterson@xxxxxxxxxxxx> wrote:
v\:* {
BEHAVIOR: url(#default#VML)
}
o\:* {
BEHAVIOR: url(#default#VML)
}
w\:* {
BEHAVIOR: url(#default#VML)
}
.shape {
BEHAVIOR: url(#default#VML)
}
@font-face {
font-family: Wingdings;
}
@font-face {
font-family: Cambria Math;
}
@font-face {
font-family: Calibri;
}
@font-face {
font-family: Tahoma;
}
@page WordSection1 {size: 612.0pt 792.0pt; margin: 72.0pt 72.0pt 72.0pt 72.0pt;
}
P.MsoNormal {
FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New
Roman","serif"
}
LI.MsoNormal {
FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New
Roman","serif"
}
DIV.MsoNormal {
FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt; FONT-FAMILY: "Times New
Roman","serif"
}
A:link {
COLOR: blue; TEXT-DECORATION: underline; mso-style-priority: 99
}
SPAN.MsoHyperlink {
COLOR: blue; TEXT-DECORATION: underline; mso-style-priority: 99
}
A:visited {
COLOR: purple; TEXT-DECORATION: underline; mso-style-priority: 99
}
SPAN.MsoHyperlinkFollowed {
COLOR: purple; TEXT-DECORATION: underline; mso-style-priority: 99
}
P.MsoListParagraph {
FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt 36pt; FONT-FAMILY: "Times New
Roman","serif"; mso-style-priority: 34
}
LI.MsoListParagraph {
FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt 36pt; FONT-FAMILY: "Times New
Roman","serif"; mso-style-priority: 34
}
DIV.MsoListParagraph {
FONT-SIZE: 12pt; MARGIN: 0cm 0cm 0pt 36pt; FONT-FAMILY: "Times New
Roman","serif"; mso-style-priority: 34
}
SPAN.EmailStyle17 {
FONT-WEIGHT: normal; COLOR: blue; FONT-STYLE: normal; FONT-FAMILY:
"Arial","sans-serif"; TEXT-DECORATION: none; mso-style-type: personal
}
SPAN.EmailStyle18 {
FONT-WEIGHT: normal; COLOR: #002060; FONT-STYLE: normal; FONT-FAMILY:
"Arial","sans-serif"; mso-style-type: personal-reply
}
.MsoChpDefault {
FONT-SIZE: 10pt; mso-style-type: export-only
}
DIV.WordSection1 {
page: WordSection1
}
OL {
MARGIN-BOTTOM: 0cm
}
UL {
MARGIN-BOTTOM: 0cm
}
You remove a butterfly needle once the syringe is
empty because a butterfly needle is not intended for extended placement.
Two minutes seems not unreasonable. We've had no problems taking it
out right away, and our skittish patients are happy to hear us say "needle's
out!". Flinching has never been an issue
Just my
inflation-adjusted 3 cents....
********
John C. Peterson, BS, CRA
Director of Ophthalmic Photography Services
UW Health Eye Clinic
2880 University Ave., Rm.
246
Madison, WI
53705
(608)
263-7163
From: optimal-bounce@xxxxxxxxxxxxx
[mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Ethan
Priel
Sent: Thursday, June 09, 2011 1:49 PM
To:
optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: When to remove
needle
Follks,
We have been using
metal butterflies for decades. Thousands a month.
We use the plastic
catheters for all first-timers, anyone with history of allergy or serious
medical conditions.
We NEVER take the
needle out 'immediately' for the highly-intelligent reasons listed earlier –
-
Secure open vein in
case
-
Discomfort that can
cause patient to balk (I guess the Bostonians are hardier
stock)
-
If it ain't broke,
don’t fix it.
Now, I think that the
sharp is in the other court –
WHY take the needle
out right away ?
Ethan
From:
optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf
Of Cavicchi, Robert
Sent: 09 June, 2011 17:32
To:
optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: When to remove
needle
We use
the same procedure as John describes below…
Removal
of the needle immediately following the injection and we don’t have any patient
complaints about stinging/pain.
No
problems acquiring the A-V phase either.
bob
From:
optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf
Of Peterson John C
Sent: Thursday, June 09, 2011 10:27
AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: When to
remove needle
We
always remove the needle right away. I believe that some of the "ouch" you
describe is the sting from FA dye left in the needle. We routinely draw back a
bit of blood to clear the dye out of the needle bore.
No
complaints from our patients so far.
********
John C.
Peterson, BS, CRA
Director of
Ophthalmic Photography Services
UW Health Eye
Clinic
2880 University Ave.,
Rm. 246
Madison, WI
53705
(608) 263-7163
From:
optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf
Of Richard Morrone
Sent: Thursday, June 09, 2011 9:14
AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] When to
remove needle
Hello
all,
After decades of performing FA's I have recently
received resistance from nursing at one facility regarding my request
that
the nurse not remove the butterfly during the first minute or two so as
not to distract the patient during the rapid sequence of flashes in an
FA.
I have had patients look down at the arm or be startled
or even say "ouch!" when the needle is pulled. Nursing does not
believe that that would occur.
They seemed concerned about
the metal needle of our 23g butterfly being left in, and they want to
remove the needle immediately after injecting. They said that to do
otherwise would put the patient at risk. So much for getting the
A-V
phase with all of that activity occurring.
I could suggest
the use of angiocaths (with the soft plastic needle/sleeve) to address
the
metal needle concern, but they do cost more.
Does anyone have
a sample protocol that mentions when the "needle" is removed?
Or... can you just describe your
procedure?
Thanks,
Richard Morrone,
C.R.A.
Other related posts:
