Pajunk e-cath

[okayplayer]

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Any of you guys switch over to the Pajunk e-cath system? Seems like a pretty slick design and less futzing around than the old catheter kits. Any nerve injuries/issues related to that fairly stiff catheter sitting adjacent to the cervical nerve roots/trunks? Seems like a stiffer catheter than the super flimsy ones in the other kits.

I would presume less leakage because of the way it is set up with the infusion catheter locking into the outer cannula. How do you guys secure it? We are starting a catheter program to send patients home (mainly interscalene/occasional popliteal).

Any other caveats/anecdotes from your experience with these? Trust that more than the Pajunk reps.

 

[dhb]

Who still uses catheters?

 

[okayplayer]

Who still uses catheters?

We weren't but we have a few orthopods who want them for total shoulders primarily. I'd rather do everything single shot but such is the nature of this job.

 

[twoliter]

Any of you guys switch over to the Pajunk e-cath system? Seems like a pretty slick design and less futzing around than the old catheter kits. Any nerve injuries/issues related to that fairly stiff catheter sitting adjacent to the cervical nerve roots/trunks? Seems like a stiffer catheter than the super flimsy ones in the other kits.

I would presume less leakage because of the way it is set up with the infusion catheter locking into the outer cannula. How do you guys secure it? We are starting a catheter program to send patients home (mainly interscalene/occasional popliteal).

Any other caveats/anecdotes from your experience with these? Trust that more than the Pajunk reps.

I have very limited experience (as in just used a few samples from the rep), so I don't have many caveats/anecdotes. But the few I did were MUCH easier to place (for me at least), and I had less worry the catheter would stay in the right place. I was a resident back then, so I didn't have any pull to make the switch or I would have.

 

[sevoflurane]

Echogenic, easy cath system.

 

[Noyac]

We weren't but we have a few orthopods who want them for total shoulders primarily. I'd rather do everything single shot but such is the nature of this job.

I'm surprised they want them for the TSA. This isn't the painful surgery that the TKA is or even a RCR shoulder. These pts do very well with a single shot block and are discharged the next day. The only upper extremity surgery we put catheters in are ones that will be on CPM post op.
Do you know why these surgeons want this? I'm curious.

 

[RK.md]

Love the e-caths! Secured them with dermabond, steristrips, and big tegaderms.

 

[BLADEMDA]

Once Liposomal Bupivacaine gets FDA approval for Nerve blocks that will be the beginning of the end for catheters and all the associated work with placing them, monitoring/rounding on them and then removing them not to mention the added cost and risks.

For now, the Pajunk system is a nice one that works well.

 

[Noyac]

Once Liposomal Bupivacaine gets FDA approval for Nerve blocks that will be the beginning of the end for catheters and all the associated work with placing them, monitoring/rounding on them and then removing them not to mention the added cost and risks.

For now, the Pajunk system is a nice one that works well.

I'm not sure this is going to happen. Time will tell.

 

[facted]

I'm not sure this is going to happen. Time will tell.

I agree with you, but I would note it's not a good discussion to have with Blade. Been there done that 😉

 

[deleted162650]

They really shoulda ran the name through a focus group. "Hey, give me one of those Pa-junky caths." Not ideal.

 

[facted]

They really shoulda ran the name through a focus group. "Hey, give me one of those Pa-junky caths." Not ideal.

haha. it's the founder's last name, though.