----- Original Message -----
Sent: Wednesday, October 11, 2006 5:14
PM
Subject: RE: Prefill syringes &
backflow
Yes, I have noticed this, but depends on brand. Had
used BD posiflow syringes with no problem. Changed brands and noticed
that the plunger glides backward if syringe help upright with tip
up.
Has anyone else had problems with the prefills
"backing up"? What I mean is after you remove the cap and push the fluid
up to the tip, if you take your thumb off the plunger for an instant, the
plunger and fluid slip back a bit. This is not so significant
before you flush in terms of a significant amount of air,esp
in adults, but if you are using a neutral displacement valve cap and you
release your thumb from the plunger before you unscrew the last syringe (which
would be normal in my opinion), it allows for blood to back up in the tip of
the line. Even with a positive displacement cap, I am not sure the over
flow with unscrewing is adequate to flush this backflow back out of the tip
thoroughly. Particularly important if only using saline flushes.
Anyone else seen this phenomena? Even clamping before you unscrew,
unless you keep your thumb and hencefore pressure on the plunger, would not
prevent this "plunger slippage". Any comments? I had the ICU
nurses point this out to me and they were sure right. The fluid slips
right back into the syringe after you push it up to get ready.
*****************************************************************************
This communication is for the use of the intended recipient only. It may
contain information that is privileged and confidential. If you are not the
intended recipient of this communication, any disclosure, copying, further
distribution or use thereof is prohibited. If you have received this
communication in error, please advise me by return e-mail or by telephone and
delete/destroy it.
*****************************************************************************