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- Jul 30, 2021
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He literally said they didn't have an IO arch.
Let's see, the ascending aortic dissection that comes to the OR after hours with a couple 20 ga PIVs. Starts to decompensate on the OR table.
Or the acute abdominal dissection brought to the OR a couple weeks ago. Stable induction, lines placed, approximately 15-20 min later that dissections extended and we never got control of it.
Again, I'm not here to defend my practice. But it's a little misleading to say we simply never take care of emergencies, and please, take as much time as you want getting that patient ready for this procedure. Or maybe I just work at a place where we get those cases, and you don't. My cardiac surgeons don't like going on pump with an IO. I don't, either.
I work in a place with all these types of cases. Not only that, we essentially have two horrible techs for a million sites (and none overnight) so I have to grab everything myself. There's pretty much always time to bring an ultrasound to the room, turn it on, put some gel on the probe, and drop a probe cover on my cordis kit.... before the patient comes to the room.Let's see, the ascending aortic dissection that comes to the OR after hours with a couple 20 ga PIVs. Starts to decompensate on the OR table.
Or the acute abdominal dissection brought to the OR a couple weeks ago. Stable induction, lines placed, approximately 15-20 min later that dissections extended and we never got control of it.
Again, I'm not here to defend my practice. But it's a little misleading to say we simply never take care of emergencies, and please, take as much time as you want getting that patient ready for this procedure. Or maybe I just work at a place where we get those cases, and you don't. My cardiac surgeons don't like going on pump with an IO. I don't, either.
We can disagree. My Belmont, drips, epi boluses etc needed all the lines I could get.Brother if you have an acutely dissecting aorta it's not the central line that's going to save you. A good PIVC with a short bung generally has a better flow rate regardless.
Just to be clear, I'm not saying there's NO indication for a central line. I just don't think it ever needs to happen right now with all the other options available.
It was a jokeHe literally said they didn't have an IO arch.