RE: prescribed therapy?

[Ann Williams]

I look forward to the responses you get Heather!!  Here we have the same thing...when I had a midline and went to OR, I came out with a peripheral.  I have seen this in many cases.  And when I have asked my anesthesiologist gym rat buddy, I am told the same....they need a quick line for the drugs, and a large one for the possible resuscitation needs.  I think they fear that the longer line of a PICC or Midline slows the response time of the drug!  :(   Ann   Ann Williams RN CRNI Infusion Specialist Deaconess Home Services 600 Mary St. Evansville, IN 47747 812-450-3828 812-450-4665 FAX   From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Heather Nichols Sent: Thursday, January 19, 2006 6:37 AM To: [EMAIL PROTECTED] Subject: prescribed therapy? I was reading through my INS Standards of Practice today ( no I was not bored) to try to get some info to decrease my anesthesiologist "bigger is better", way of thinking.  It is said that catheter selection should be the smallest gauge and shortest length, that will accommodate the prescribed therapy.  Could anyone tell me where I might find the "prescribed therapy" for the size of catheter needed for a patient going in for surgery?  Is there any info out there to support the doc's need for an 18 or 16 gauge short peripheral in a vein that is in no way big enough to support it?  The doc's tell me it is for possible resuscitation purposes, but the flow rates on the peripheral catheters we use do not make enough of a difference to support this either.  I know I am probably fighting a losing battle, but I need to know either way.  My patients are the one's being made to suffer for what seems to be archaic practice.    Heather Nichols RN BSN CRNI Infusion Services University of Louisville Trauma Institute 530 S. Jackson St. Lou. Ky. 40202 (502)562-3530 ----------------------------------------------------- Confidentiality Disclaimer   If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited.  If you receive this message in error, or are not the named recipient(s), please notify the sender or contact the University of Louisville Health Care I.S. helpdesk at 502.562.3637 to report an inadvertently received message. ----------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the originator of the message. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Deaconess Health System.