Journal of ISSN: 2373-6437JACCOA

Anesthesia & Critical Care: Open Access
Letter to Editor
Volume 6 Issue 4 - 2016
“Vomiting Container” Appliance for Securing the Vascular Lines
Fatma Nihal Durmus Kocaaslan1*, Beliz Bilgili2, Zuhal Aykaç2 and Ozhan Celebiler1
1Marmara University School of Medicine, Plastic, Reconstructive and Aesthetic Surgery Department, Turkey
2Marmara University School of Medicine, Department of Anesthesiology and Intensive Care medicine, Turkey
Received: December 18, 2016 | Published: December 22 2016
*Corresponding author: Fatma Nihal Durmuş Kocaaslan, Marmara University School of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Fevzi Cakmak Mah Muhsin Yazıcıoglu Cad no:10, 34899 Pendik- Istanbul / Turkey, Tel: (0090) 216 6570606; Fax: (0090) 216 3267722; Email:
Citation: Kocaaslan FND, Bilgili B, Aykaç Z, Celebiler O (2016) “Vomiting Container” Appliance for Securing the Vascular Lines. J Anesth Crit Care Open Access 6(4): 00238. DOI: 10.15406/jaccoa.2016.06.00238

Letter to Editor

Catheterizing for intravenous drug and fluid administration is one of the most important steps of general anesthesia induction. In pediatric group it is hard to find a reliable vascular access and secure it during the operation. When the only vascular access is far from the anesthesiology team it become more of an issue to protect it under the surgical drapes. In long and bleeding cranial surgeries such as craniosynostosis, maintenance of the arterial line is vital. Several types of securing materials as well as tapes, drapes, sutures are widely used for securing the IV catheters [1-3]. However, this techniques are not enough to secure and monitor during the long operations under heavy surgical drapes in particularly pediatric group. Starting this point we develop an idea using a “disposable vomiting container” which is frequently used in operating rooms for vomiting patients at awaking phase (Figure 1).

Figure 1: Kidney shaped vomiting container.

The container is made of semi soft material that is consisted of carton thus giving shape with scissors is very easy. After the adjustment of container for patient’s forearm thickness it is placed over the hand (Figure 2). The advantage of this method is securing the vascular line with an easy method when there is any possibility of visualization during the operation. One must take care reshaping of the container, when the arch is so narrow it would lead decubitus ulcer on the arm.  The arch should be check twice and container should be taped on operating table covering to prevent any movement. This practical and cheap method is very useful for securing the IV lines during surgery against surgeons and drapes.

Figure 2: Appliance and positioning of the container.

References

  1. Jenks M, Craig J, Green W, Hewitt N, Arber M, et al. (2015) Tegaderm CHG IV Securement Dressing for Central Venous and Arterial Catheter Insertion Sites: A NICE Medical Technology Guidance. Appl Health Econ Health Policy 14(2): 135-149.
  2. Frey AM, Schears GJ (2006) Why are we stuck on tape and suture? A review of catheter securement devices. J Infus Nurs 29(1): 34-38.
  3. Hetzler R, Wilson M, Hill EK, Hollenback C (2011) Securing pediatric peripheral i.v. catheters--application of an evidence-based practice model. J Pediatr Nurs 26(2): 143-148.
© 2014-2016 MedCrave Group, All rights reserved. No part of this content may be reproduced or transmitted in any form or by any means as per the standard guidelines of fair use.
Creative Commons License Open Access by MedCrave Group is licensed under a Creative Commons Attribution 4.0 International License.
Based on a work at http://medcraveonline.com
Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version | Opera |Privacy Policy