Power injecting into EJ

[NinerNiner999]

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Hey Folks-

I posted this initially in the ED forum, but wanter to hear your take on the subject...

Does anyone know of any position statements or current radiology guidelines for power injecting into an EJ line? Specifically, are there any sources out there that support of refute power injecting into this site? This is specific to CTA studies.

I have searched the web and cannot seem to find a definitive source from a reputable physician organization..

 

[Shifty B]

I personally do not do it. The risk of extravasation is high, and you'd rather not be calling an ENT asking for an emergent neck fasciotomy when there is a big extravasation. It's bad enough in the hand or arm. Those injectors can put in 50-100 mL of contrast before you even realize not a drop is in the vein, and you just don't have room for that in the neck.

Want a reference? Scroll down to #6, which says EJ lines can be hand injected but not for CT angiograms (which require a higher contrast rate).
http://www.radiology.ucsf.edu/patient-care/patient-safety/contrast/iodinated/vascular-access-adults