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Arrow vs. Jelco

Discussion in 'Anesthesiology' started by MTGas2B, Aug 10, 2006.

  1. MTGas2B

    MTGas2B Cloudy and 50
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    Placed some a-lines today. Decided I really don't like the Arrow kits (the one with the wires) First one I tried three times with the arrow, no dice. One try with the old-school jelco, bingo.

    Second time, facilitor wanted me to try placing it with the doppler on an awake patient. No luck. Jelco and palpation, perfect on the first try.

    Are some of you senior residents and attendings big jelco fans?
     
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  3. UTSouthwestern

    UTSouthwestern 1K Member
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    Honestly, could care less about which one. I usually just use a regular 20 gauge IV with a syringe at the end.
     
  4. Laryngospasm

    Laryngospasm Trench Dog
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    I use both, most staff I know use the jelco, because it doesnt cost 7$
     
  5. TIVA

    TIVA Member
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    I prefer the jelco as well, with the empty syringe attached to it as UT mentioned above. I've also noticed that I've increased my success rate by rotating the needle 180 degrees (so that the bevel then points down) after the flash of blood and dropping my angle ever so slightly before spinning the catheter off the hub.
     
  6. ReefTiger

    ReefTiger Junior Member
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    When just using a syringe on an IV do you just have the plunger pulled back prior to insertion to see the flash?
     
  7. TIVA

    TIVA Member
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    I take the plunger completely off.
     
  8. UTSouthwestern

    UTSouthwestern 1K Member
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    I pull it back about a cc.
     
  9. supahfresh

    supahfresh un paradis du gangster
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    Barash told me not to use the arrows. it makes you use too steep of an angle and costs too much. The arrow will last longer however and you'll appreciate it on your ICU rotation.

    The jelco with syringe with plunger off is popular.

    and getting more popular is the water stylet trick. jelco with T-piece, and 10 cc syringe filled with 5 cc saline. go thru and thru, pull back while aspirating until you get good flow. then flush while advancing catheter. works every time.
     
  10. VolatileAgent

    VolatileAgent Livin' the dream
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    jelco, wire, done. (i admit low success rate with other techniques... never used the arrow kit, although worked a few times with the guy who invented. he's at now practicing at mt. sinai.)
     

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