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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

journal_title

Journal of clinical anesthesia

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

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