Filter needles with glass ampoules in ESI

[nerve zapper]

Current fellow here. Our epidural kits contain glass ampoules for saline and lido.

Do you use filter needles for meds drawn from glass ampoules to be used for an ESI?

One of my attendings dumps the saline into the tray and draws it into the LOR syringe wo a filter needle.

Another makes sure to break the ampoule top over the sharps container and then uses a filter needle to draw up.

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[SSdoc33]

Smh. No kits. No glass. No filter needle.

What is this, 2002?

 

[callmeanesthesia]

Dude, not as if the fellow can avoid them.Yes, filter straw or filter needle. I’ve occasionally had to use the glass ampules due to drug shortages. Also, hold the top with a gauze when you snap it off. I’ve seen some nasty little pieces sticking up occasionally.

 

[Gnarvin]

Dude, not as if the fellow can avoid them.Yes, filter straw or filter needle. I’ve occasionally had to use the glass ampules due to drug shortages. Also, hold the top with a gauze when you snap it off. I’ve seen some nasty little pieces sticking up occasionally.

Good advice. I have cut my thumb on a glass top that shattered rather than broke cleanly. I always use gauze now.

 

[gaseous_clay]

Dude, not as if the fellow can avoid them.Yes, filter straw or filter needle. I’ve occasionally had to use the glass ampules due to drug shortages. Also, hold the top with a gauze when you snap it off. I’ve seen some nasty little pieces sticking up occasionally.

This!

 

[MitchLevi]

Dude, not as if the fellow can avoid them.Yes, filter straw or filter needle. I’ve occasionally had to use the glass ampules due to drug shortages. Also, hold the top with a gauze when you snap it off. I’ve seen some nasty little pieces sticking up occasionally.

Haha. Thread is closed.

 

[BobBarker]

You don’t need gauze. Hold amp in left hand. Left thumb nail at the neck of the amp, that thumb nail facing superiorly. Right thumb nail abutting the left thumb nail facing inferiorly. Grab the top of the amp with pointer finger. Lever the top of the amp with that finger while raising your right hand up. Perfect every time.

Some amps have a dot indicating where the soft spot is. Very important not to force those except where indicated.