Indian Journal of Anaesthesia

RESPONSE TO COMMENTS
Year
: 2018  |  Volume : 62  |  Issue : 10  |  Page : 831-

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

Correspondence Address:
Dr. Ashutosh Kaushal
Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi
India




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;62:831-831


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 2021 Aug 4 ];62:831-831
Available from: https://www.ijaweb.org/text.asp?2018/62/10/831/242898


Full Text



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}

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

1Agarwal V. Caution: IV cannula should NOT be used for arterial cannulation. Indian J Anaesth. 2018;62:830.
2Kaushal 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.