The incidence of coring with blunt versus sharp needles.

Abstract:

:With the advent of safety needles to prevent inadvertent needle sticks in the operating room (OR), a potentially new issue has arisen. These needles may result in coring, or the shaving off of fragments of the rubber stopper, when the needle is pierced through the rubber stopper of the medication vial. These fragments may be left in the vial and then drawn up with the medication and possibly injected into patients. The current study prospectively evaluated the incidence of coring when blunt and sharp needles were used to pierce rubber topped vials. We also evaluated the incidence of coring in empty medication vials with rubber tops. The rubber caps were then pierced with either an18-gauge sharp hypodermic needle or a blunt plastic (safety) needle. Coring occurred in 102 of 250 (40.8%) vials when a blunt needle was used versus 9 of 215 (4.2%) vials with a sharp needle (P < 0.0001). A significant incidence of coring was demonstrated when a blunt plastic safety needle was used. This situation is potentially a patient safety hazard and methods to eliminate this problem are needed.

journal_name

J Clin Anesth

authors

Wani T,Wadhwa A,Tobias JD

doi

10.1016/j.jclinane.2013.10.007

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

152-4

issue

2

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(14)00021-X

journal_volume

26

pub_type

杂志文章
  • Intrathecal morphine in anesthesia for cesarean delivery: dose-response relationship for combinations of low-dose intrathecal morphine and spinal bupivacaine.

    abstract:STUDY OBJECTIVE:To evaluate the quality of analgesia and the severity of side effects of intrathecal morphine administered for a dose range of 0.0 to 0.4 mg for postcesarean analgesia with low-dose bupivacaine. DESIGN:Double-blind, randomized study. SETTING:University hospital. PATIENTS:100 ASA physical status I and...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2007.07.010

    authors: Girgin NK,Gurbet A,Turker G,Aksu H,Gulhan N

    更新日期:2008-05-01 00:00:00

  • Combination of granisetron and droperidol in the prevention of nausea and vomiting after middle ear surgery.

    abstract:STUDY OBJECTIVES:To evaluate the efficacy and safety of granisetron-droperidol combination for the prevention of postoperative nausea and vomiting (PONV) after middle ear surgery. DESIGN:Prospective, randomized, double-blind study. SETTING:University hospital. PATIENTS:150 ASA physical status I patients (108 females...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验,收录出版

    doi:10.1016/s0952-8180(99)00011-2

    authors: Fujii Y,Saitoh Y,Tanaka H,Toyooka H

    更新日期:1999-03-01 00:00:00

  • Endothelium-dependent vascular smooth muscle control.

    abstract::Recent pharmacologic evidence supports the importance of the integrity of the endothelium in modulating vascular reactivity. The endothelial cells produce one or more endothelium derived relaxing factor(s) or EDRF that cause relaxation of vascular smooth muscle cells through production of cyclic guanosine monophosphat...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/0952-8180(88)90033-5

    authors: Husain M,Moss J

    更新日期:1988-01-01 00:00:00

  • Massive pulmonary embolism presented as sudden cardiac arrest in the immediate postoperative period after laparoscopic hysterectomy.

    abstract::A rare case of postoperative cardiac arrest in an otherwise healthy, 49-year-old female patient who had a laparoscopic hysterectomy, is presented. The cause of cardiac arrest was due to massive pulmonary embolism, which was detected by transesophageal echocardiography. Laparoscopic surgery is regarded as a less invasi...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2003.02.007

    authors: Hsieh SW,Lan KM,Luk HN,Wang CS,Jawan B

    更新日期:2003-11-01 00:00:00

  • Systemic ropivacaine toxicity from a peripheral nerve infusion in a medically complex patient.

    abstract::This is a case of systemic ropivacaine toxicity from a sciatic nerve catheter. A 20-year-old patient after heart transplant with poor systemic perfusion on hemodialysis and multiple medications experienced local anesthetic systemic toxicity 72 hours after placement of a peripheral nerve catheter. The case demonstrates...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2015.03.021

    authors: Grigg E,Anderson C,Pankovich M,Martin L,Flack S

    更新日期:2015-06-01 00:00:00

  • Subcutaneous targeted neuromodulation technique for the treatment of intractable chronic postthoracotomy pain.

    abstract::Subcutaneous targeted neuromodulation has been used successfully in chronic neuropathic pain. A 26 year-old patient with severe postthoracotomy pain and ipsilateral "wing scapula" due to intraoperative injury of the long thoracic nerve, is reported. Application of targeted neuromodulation resulted in immediate pain re...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2009.10.018

    authors: Theodosiadis P,Grosomanidis V,Samoladas E,Chalidis BE

    更新日期:2010-12-01 00:00:00

  • Accumulation of carbon dioxide during eye surgery.

    abstract::During cataract surgery, both the surgeon and the anesthesiologist need access to the patient's face. At our institution we achieved a working compromise by using an oxygen insufflating hoop, which allowed the surgeon access to the eye and a sterile field. The patient's airway was kept free by the hoop, and the patien...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(89)90024-x

    authors: Zeitlin GL,Hobin K,Platt J,Woitkoski N

    更新日期:1989-01-01 00:00:00

  • Evaluation of laboratory coagulation and lytic parameters resulting from autologous whole blood transfusion during primary aortocoronary artery bypass grafting.

    abstract:STUDY OBJECTIVE:To determine if autologous blood reinfusion influences overall hemostatic function following aortocoronary artery bypass graft (CABG) surgery, and if so, where the predominant area of this influence lies. DESIGN:Prospective, with control values on each patient. SETTING:Cardiac operating room of a majo...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1016/0952-8180(95)00236-7

    authors: Whitten CW,Allison PM,Latson TW,Ivy R,Burkhardt D,Gulden RH,Cochran RP

    更新日期:1996-05-01 00:00:00

  • Pseudo-hypotension in patients with ankylosing spondylitis during posterior osteotomy for correction of kyphosis.

    abstract:STUDY OBJECTIVE:To report the occurrence of pseudo-hypotension during posterior osteotomy for correction of kyphosis in patients with ankylosing spondylitis. DESIGN:Retrospective case series. SETTING:University-affiliated hospital. MEASUREMENTS:The records of 36 patients with ankylosing spondylitis, who had severe t...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2012.05.001

    authors: Jiang Z,Liu Y,Zhang W,Ma Z

    更新日期:2013-02-01 00:00:00

  • The opioid-sparing effect of diclofenac sodium in outpatient extracorporeal shock wave lithotripsy (ESWL).

    abstract:STUDY OBJECTIVE:To evaluate the opioid-sparing and analgesic effect of diclofenac sodium in ambulatory nonimmersion extracorporeal shock wave lithotripsy (ESWL). DESIGN:Randomized, double-blind, placebo-controlled study. SETTING:Large referral hospital. PATIENTS:Twenty-seven ASA physical status I and II patients wit...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(93)90142-2

    authors: Fredman B,Jedeikin R,Olsfanger D,Aronheim M

    更新日期:1993-03-01 00:00:00

  • Unusual etiology of hyperkalemia in an immunocompromised patient.

    abstract::Hyperkalemia was found in an immunocompromised patient undergoing emergency cystoscopy. The cause of the hyperkalemia was an intraperitoneal rupture of the bladder. This case report discusses conditions that predispose patients to bladder rupture and anesthetic management of hyperkalemia. ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(91)90095-5

    authors: Newland MC,Hosman SL,Newland JR,Landers DF

    更新日期:1991-11-01 00:00:00

  • Quadriparesis from air emboli during percutaneous nephrolithotomy.

    abstract::Quadriparesis is a potentially catastrophic complication during operative procedures. It may result from a number of different types of central nervous system insults. A case of quadriparesis following an otherwise unremarkable percutaneous nephrolithotomy surgery is reported. The quadriparesis resulted from multiple ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2014.01.007

    authors: Hegland DL,Canales BK,Katz RI

    更新日期:2014-06-01 00:00:00

  • Optimal target concentration of remifentanil during cataract surgery with monitored anesthesia care.

    abstract:STUDY OBJECTIVE:To determine the effect-site target concentration (C(et)) of remifentanil that provides optimal conditions for patients and operators during cataract surgery during monitored anesthesia care using a target controlled infusion (TCI) of propofol and remifentanil. DESIGN:Prospective, randomized, double-bl...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2010.02.007

    authors: Ryu JH,So YM,Hwang JW,Do SH

    更新日期:2010-11-01 00:00:00

  • The economic impact of opioids on postoperative pain management.

    abstract:STUDY OBJECTIVE:To evaluate the consequences of opioid use for postoperative pain management and the degree to which these consequences may be reduced or minimized with opioid-sparing or opioid-replacement techniques. DESIGN:Literature review relating to the economics of postoperative pain management. Comparisons betw...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/s0952-8180(02)00372-0

    authors: Philip BK,Reese PR,Burch SP

    更新日期:2002-08-01 00:00:00

  • Intravenous trimethaphan during epidural plus general anesthesia decreases the direct radial artery pressure lower than the brachial artery pressure.

    abstract:STUDY OBJECTIVE:To determine whether vasodilators such as sodium nitroprusside (SNP) and trimethaphan (TMP) produce a pressure difference between the radial artery and the brachial artery during epidural plus general anesthesia or simple general anesthesia. DESIGN:Randomized study and prospective study. SETTING:Opera...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(95)00199-9

    authors: Nagata N,Takasaki M,Ibusuki S,Taniguchi M,Kondo O

    更新日期:1996-05-01 00:00:00

  • Persistent hypoxia after diagnosis and treatment of pulmonary thromboembolism.

    abstract::Acute respiratory failure in the perioperative period represents a frequent challenge to the anesthesiologist. The differential diagnosis is extensive and includes alterations on the pulmonary parenchyma, pulmonary vessels, airway, and cardiac system. Occasionally, two or more pathophysiological process superimpose. W...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0952-8180(01)00336-1

    authors: Azocar RJ,Talmor D,Kaynar AM,Lisbon A

    更新日期:2001-12-01 00:00:00

  • Anesthetic considerations for nontransplant procedures in lung transplant patients.

    abstract::Lung transplantation has become an accepted option for many patients with end-stage pulmonary diseases. Anesthesia and surgery following lung transplantation may be required for various diseases that may affect both systemic organs and the transplanted graft. When a patient with a lung transplant undergoes surgery, th...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/j.jclinane.2011.05.002

    authors: Feltracco P,Falasco G,Barbieri S,Milevoj M,Serra E,Ori C

    更新日期:2011-09-01 00:00:00

  • Trimethaphan (Arfonad) control of hypertension and tachycardia during electroconvulsive therapy: a double-blind study.

    abstract:STUDY OBJECTIVE:To ascertain the optimal dose of trimethaphan camsylate administered by intravenous (i.v.) bolus injection for the control of hypertension and tachycardia during electroconvulsive therapy (ECT). DESIGN:Prospective, double blind, within-subject study. SETTING:Treating room of the psychiatric unit of th...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(95)00192-1

    authors: Petrides G,Maneksha F,Zervas I,Carasiti I,Francis A

    更新日期:1996-03-01 00:00:00

  • Interventional and multimodal pain rehabilitation in a child with meralgia paresthetica.

    abstract::Meralgia paresthetica is a chronic pain syndrome that is extremely rare in the pediatric population. It is manifested by hypesthesia or pain in the distribution of the lateral femoral cutaneous nerve (LFCN) and is typically caused by entrapment as the nerve passes deep to the inguinal ligament. This sensory mononeurop...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2016.04.015

    authors: Franklin AD,Cierny GB,Luckett TR

    更新日期:2016-09-01 00:00:00

  • The intubating laryngeal mask airway: rocuronium improves endotracheal intubating conditions and success rate.

    abstract:STUDY OBJECTIVE:To assess intubating conditions without neuromuscular blocking drugs, to determine the relation between the dose of rocuronium and the probability of achieving excellent or at least good (good or excellent) intubating conditions with the intubating laryngeal mask airway (ILMA), and finally, to determine...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2004.06.009

    authors: Sastry SG,Lemmens HJ

    更新日期:2005-05-01 00:00:00

  • Rocuronium versus succinylcholine-atracurium for tracheal intubation and maintenance relaxation during propofol anesthesia.

    abstract:STUDY OBJECTIVES:To compare the onset and offset time (clinical duration), and intubating conditions obtained with rocuronium bromide 0.6 mg/kg and succinylcholine 1.0 mg/kg after induction with propofol and fentanyl; and to compare rocuronium with atracurium for maintenance during propofol anesthesia. DESIGN:Prospect...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0952-8180(00)00191-4

    authors: Lam AM,Pavlin EG,Visco E,Taraday J

    更新日期:2000-09-01 00:00:00

  • Anesthetic considerations in patients with Alzheimer's disease.

    abstract::Alzheimer's disease is a form of dementia that is estimated to affect approximately 3 to 4 million Americans. Given the substantial number of people affected with this disease, it is likely that anesthesiologists will encounter many patients with Alzheimer's disease. Questions as to potential problems including inform...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/s0952-8180(02)00483-x

    authors: Fernandez CR,Fields A,Richards T,Kaye AD

    更新日期:2003-02-01 00:00:00

  • A survey of pain and other symptoms that affect the recovery process after discharge from an ambulatory surgery unit.

    abstract:STUDY OBJECTIVE:To determine the significance of pain and other symptoms on the recovery process after ambulatory surgery, by surveying pain, analgesic use, and related aspects of recovery in the first 48 hours after discharge from an ambulatory surgery unit. DESIGN:Prospective, observational, surveillance survey. PA...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2003.08.004

    authors: Pavlin DJ,Chen C,Penaloza DA,Buckley FP

    更新日期:2004-05-01 00:00:00

  • Closed head injury and the treatment of sequelae after a motor vehicle accident.

    abstract::Approximately 2 million closed head injuries (CHIs) occur yearly in the United States. Twenty-five percent of these injuries require hospitalization, and 70,000 to 90,000 of those hospitalized suffer long-term disability. This case conference details one such case of CHI in which the patient ultimately died. Close att...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0952-8180(05)80020-0

    authors: Stachniak J,Layon AJ

    更新日期:1994-09-01 00:00:00

  • Drug interactions: volatile anesthetics and opioids.

    abstract::Multiple drugs are used to provide anesthesia. Volatile anesthetics are commonly combined with opioids. Several studies have demonstrated that small doses of opioid (i.e., within the analgesic range) result in a marked reduction in minimum alveolar concentration (MAC) of the volatile anesthetic that will prevent purpo...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/s0952-8180(97)00122-0

    authors: Glass PS,Gan TJ,Howell S,Ginsberg B

    更新日期:1997-09-01 00:00:00

  • Prolonged neuromuscular blockade following vecuronium infusion.

    abstract::Administration of vecuronium by infusion is an increasingly common technique, both in the operating room and in the intensive care unit (ICU), for patients requiring prolonged neuromuscular blockade and mechanical ventilation. The major advantage of vecuronium over older neuromuscular blocking agents is its rapid excr...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(90)90107-e

    authors: Lagasse RS,Katz RI,Petersen M,Jacobson MJ,Poppers PJ

    更新日期:1990-07-01 00:00:00

  • Electrolyte changes during craniotomy caused by administration of hypertonic mannitol.

    abstract::We report a 31-year-old woman scheduled for a right frontal craniotomy and debulking of a recurrent grade 3 astrocytoma. Mannitol was given at the request of the surgeons. Peaked T waves were noted on electrocardiography, and electrolyte analysis showed hyperkalemia and hyponatremia. ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2006.09.005

    authors: Hassan ZU,Kruer JJ,Fuhrman TM

    更新日期:2007-06-01 00:00:00

  • Successful management of a thoracic cerebrospinal fluid cutaneous fistula in a two year old child using a thoracic epidural blood patch.

    abstract::A case of persistent thoracic cerebrospinal fluid cutaneous fistula in a toddler following radiographically confirmed epidural catheter placement is reported. Treatment of the fistula with a thoracic epidural blood patch was successful. ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2012.11.012

    authors: Franklin AD,Hays SR

    更新日期:2013-06-01 00:00:00

  • Anesthetic management of a patient with neuroleptic malignant syndrome.

    abstract::Neuroleptic malignant syndrome is an uncommon, idiosyncratic, and sometimes life-threatening disorder associated with the use of neuroleptic drugs. The pathogenesis of neuroleptic malignant syndrome is uncertain, but it may be similar to that of malignant hyperthermia (MH). Some of the symptoms of neuroleptic malignan...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(90)90096-l

    authors: Vitkun SA,Boccio RV,Poppers PJ

    更新日期:1990-05-01 00:00:00

  • Abdominal relaxation during emergence from general anesthesia with propofol and remifentanil.

    abstract:STUDY OBJECTIVE:To characterize respiratory dynamics during emergence from propofol-remifentanil anesthesia using noninvasive respiratory inductance plethysmography (RIP). DESIGN:Observational pilot study. SETTING:Operating room in a university-affiliated teaching hospital. PATIENTS:50 ASA physical status 1, 2, and ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2012.06.025

    authors: Atkins JH,Mandel JE

    更新日期:2013-03-01 00:00:00