CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Related articles in CJA
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Favier, J.-C.
Right arrow Articles by Boulland, P.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Favier, J.-C.
Right arrow Articles by Boulland, P.
Canadian Journal of Anesthesia 52:212-213 (2005)
© Canadian Anesthesiologists' Society, 2005

Correspondence

REPLY

Jean-Christophe Favier, MD, David Plancade, MD and Pascal Boulland, MD

Metz Armées, France

We can only agree with La Rosa et al. The solution proposed to avoid the accidental iv injection is effective ...for epidural catheters and lines. Unfortunately, this solution does not exist (in France) for dedicated nerve block needles (neurostimulation). This is why we use dedicated syringes (30 mL syringes in our institution) and specific labelling with grey colour labels (SODIS laboratories, Mulhouse, France).1

Thirty millilitre syringes are used for single-shot injections and for the initial injection when a continuous infusion is used (for continuous plexus nerve block analgesia). Unfortunately, the labelled syringe used for continuous infusion is not a dedicated one (30 mL is too small: too frequent changes are needed).

We use dedicated coiled lines as well (FigureGo, Vygon laboratories, Ecouen, France). These lines are used on plexus nerve block lines and epidural lines in order to avoid the accidental iv infusion of local anesthetics.



View larger version (103K):
[in this window]
[in a new window]
  		FIGURE Coiled line used for plexus block and epidural infusions.

 
In any event, even with these precautions, we agree that: "the quite remarkable capacity for a human to circumvent almost any safeguards against medical error" will persist.

Reference

1 Favier JC. Avoiding the accidental iv injection of local anaesthetics (author reply). Can J Anesth 2003; 50: 1077–8.[Free Full Text]


Related articles in CJA:

Avoiding accidental iv injection
John LaRosa and Mose Chikungwa
CJA 2005 52: 211-212. [Full Text]  




This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Related articles in CJA
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Favier, J.-C.
Right arrow Articles by Boulland, P.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Favier, J.-C.
Right arrow Articles by Boulland, P.

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS