Refilling Propofol Infusions | #shorts #ivcannulation #anesthesiology #nurse

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[Justordinary]

Doing TIVA and anaesthesia for over 14 years, I think one of the minor towards this would be that the plunger gets reused as it is pushed out once pushed in making it more infection risk. Major issues would be drug bolus and also more errors. There is no harm isn’t stopping it and changing it, you are not going to take more than 20-30 seconds ! Sounds like overkill.

[Klarification]

You'd still be using 2 x 50 ml syringes anyways, and now you are ustilising an additional piece of plastic (3-way-tap) that wasn't required. From a sustainability standpoint, this is wasteful and unnecessary.

Additionally, this is adding another layer of complexity for yourself to turn the tap to the correct side, check it, and then fill up the syringe with the risk of giving your patient a 50 ml propofol bolus if you were wrong. I'd prefer to keep it simple, especially when you're having to run a case at 3 in the morning.

[bndfer]

What‘s the advantage instead of just using the new syringe? Since you need a new one to draw up the propofol anyway it seems like you are not saving any plastic or anything

[hashimqadri]

Not good option. We should replace it to prevent infection

[korydrew]

This is interesting. 😮 Im glad I stumble on these.

[MISSODETTESWANN]

Nurse here, sadly retired due to health 46yrs
Thankyou. I want to go back on duty for a rest.

[theking]

By pushing the plunger back and forth it could be contaminated by the unsterile inner wall of the syringe. Given the high potential for bacterial growth and possible use ober multiple hours I really wouldn't recommend this.

[ianshelton]

I'm surprised there are no bungs or valves on the tap that you could swab with alcohol first, before just connecting a syringe to an open port straight into the bloodstream

[mauricedo]

4 problems:
Increase of complexity-> increase of failure rates for example by accidendentally giving your patient a bolus
Increased risk for contamination because of the already used syringe and one more opening is one more invitation for germs
Not more economic than usual, so why dont change it normally
Massive inclusion of air as you can see in the video -> increased risk for air embolisms
From my perspective, dont do it

[usopanakbadar]

infection control nurse here. did you scrub the hub before connecting the syringe?

[Paul-vfv]

Single use syringe..if reuse ...2time. infection would be happen. From the core of syringe that. U contact....use only One time

[aa-rvqw]

Thank you man. I really like what you did.

[husenhusen]

What about the air bubbles you getting in the main syringe after refilling?

[jenny]

Not good practice. Just as easy to change to fresh syringe because you have to date, time and sign label on it. And the whole system including line should be changed every 12hrs as it’s a lipid

[anthonyd]

Gee that's asking for trouble, Lahiru 😂

[emachimia]

do you experience failures in the digital system?

[Firestorm]

Feel like this is ripe for an accidental massive propofol bolus...

[merelymaterial]

seems unnecessary and can the inside of the old syringe lose its sterility because the plunger you've touched goes in and out of the syringe?

[xxdustinadamsxx]

😂 till you turn the valve wrong way accidentally yikes

[contorta]

But the plunger has been exposed to who knows what and who knows who for how long? Going from all the way in to back out again. Isn't propofol super prone to bacteria growth too, so every precaution should be taken.