Rapid Volume Replacement for Hypovolemic ShockA Comparison of Techniques and Equipment
作者:
J. MILLIKAN,
THOMAS CAIN,
JOHN HANSBROUGH,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1984)
卷期:
Volume 24,
issue 5
页码: 428-431
ISSN:0022-5282
年代: 1984
出版商: OVID
数据来源: OVID
摘要:
The achievement of a very rapid fluid infusion rate may be critical in the resuscitation of the patient in hypovolemic shock. We studied flow rates of crystalloid and whole blood through various intravenous catheters and tubing systems. The 10-gauge Angiocath® and the 8 Fr pulmonary artery introducer catheter provide flow rates equivalent to intravenous tubing (3.2 mm I.D.) inserted directly into the vein. Substantially higher flow rates can be achieved with the use of large-bore intravenous tubing (5.0 mm I.D.) connected to these catheters in place of standard intravenous tubing, allowing the infusion of 1,200–1,400 cc/minute of crystalloid and whole blood into the patient in hypovolemic shock through one intravenous catheter. Clinical trials with larger bore intravenous tubing are probably indicated.
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