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Critical discussions on critical care
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#icurounds | Critical discussions on critical care Menu Skip to content Home About #icurounds Critical discussions on critical care Venous Access for Fluid Resuscitation – You don’t need a central line! Posted on November 7, 2013 by icurounds65 Standard Reply Last week we asked, what venous access is the LEAST effective for fluid resuscitation? The options were: A. 16G antecubital peripheral IV B. 8.5F Cordis C. Medial port of a triple lumen central line D. Intraosseus line Before we get into the answer with some numbers to back it up; take a second t go back to undergrad physics.. remember Poiseuille’s Law? What it says is that the highest amount of flow is achieved when the conducting vessel is a) short, b)large, and d) has a high pressure gradient across it. Now thinking about our options: A) a 16G PIV has a relatively large lumen and is a short catheter B) An 8.5F cordis has a huge lumen and is not very long C) The medial port of a cent...
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