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| RESPONSE TO COMMENTS |
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| Year : 2018 | Volume
: 62
| Issue : 10 | Page : 831 |
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Response to comments: Modification of intravenous cannula for arterial line insertion: Simple yet effective technique
Ashutosh Kaushal1, Ashish Bindra1, Shalendra Singh2
1 Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
2 Department of Anaesthesiology, AFMC, Pune, Maharashtra, India
| Date of Web Publication | 9-Oct-2018 |
Correspondence Address:
Dr. Ashutosh Kaushal
Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ija.IJA_568_18
How to cite this article:
Kaushal A, Bindra A, Singh S. Response to comments: Modification of intravenous cannula for arterial line insertion: Simple yet effective technique. Indian J Anaesth 2018;62:831 |
How to cite this URL:
Kaushal A, Bindra A, Singh S. Response to comments: Modification of intravenous cannula for arterial line insertion: Simple yet effective technique. Indian J Anaesth [serial online] 2018 [cited 2020 Oct 30];62:831. Available from: https://www.ijaweb.org/text.asp?2018/62/10/831/242898 |
Sir,
We would like to convey our gratitude to the readers for showing interest in our article.[1] We agree that intravenous (i.v.) cannula should not be used for arterial cannulation due to risk of inadvertent arterial injection. We proposed the use of intravenous cannula for arterial cannulation in resource-limited settings which are not uncommon in our country.[2] To avoid accidental intra-arterial injections, drug port should be covered with surgical adhesive tape and labelled as arterial in bold letters [Figure 1]. This is routinely done at our institute to prevent such complications. | Figure 1: Drug port is covered with surgical adhesive tape and labelled as arterial in bold letters
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We also agree that the modification suggested by us is not applicable to B Braun® i.v. cannula and is more suitable for Primaflon i.v. cannula (Lamed Healthcare Pvt. Ltd.).
The alternative method suggested by the authors is interesting, but it should be noted that there is enough reservoir in the flashback chamber of arterial cannula. Hence, it may not be necessary to modify the cannula. The modification suggested by the authors opens the closed system and may lead to bleeding, soiling and increased risk of infection. In addition, connecting a 2-mL syringe to any cannula (arterial/venous) increases the bulk of the system and makes the procedure more difficult, especially for trainees.
We recommend a dedicated arterial cannula for arterial pressure monitoring; however, if it is unavailable, one can use i.v. cannula after taking due precautions.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
 References | |  |
| 1. | Agarwal V. Caution: IV cannula should NOT be used for arterial cannulation. Indian J Anaesth. 2018;62:830.  |
| 2. | Kaushal A, Bindra A, Singh S, Saeed Z. Modification of intravenous cannula for arterial line insertion: Simple yet effective technique. Indian J Anaesth 2018;62:397-9. [ PUBMED] [Full text] |
[Figure 1]
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