Refilling Propofol Infusions |

---------
Find us at
Instagram: / abcsofanaesthesia
Twitter: / abcsofa
Website: www.anaesthesiacollective.com
Podcast: ABCs of Anaesthesia
Primary Exam Podcast: Anaesthesia Coffee Break
Facebook Page: / abcsofanaesthesia
Facebook Private Group: / 2082807131964430
---------
Check out all of our online courses and zoom teaching sessions here!
anaesthesia.thinkific.com/col...
www.anaesthesiacollective.com...
---------
#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded
---------
Please support me at my patreon
/ abcsofa
---------
Any questions please email [e-mail]
---------
Disclaimer:
The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.
Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.
This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such.
The medical information is provided “as is” without any representations or warranties, express or implied.
The presenter makes no representations or warranties in relation to the medical information on this video.
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant.
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’
Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing
The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.
The information presented here does not represent the views of any hospital or ANZCA.
These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements.
This disclaimer was created based on a Contractology template available at www.contractology.com.

[@DrRakeshAcharya]

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.

[@Ozee.Aaron1234]

Agree!!

[@korydrew]

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

[@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

[@ahmedel-demerdash8415]

Saving time

[@theking258456]

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.

[@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.

[@brandonpressley-williams4544]

“Single Use Only”

[@hashimqadri2004]

Not good option. We should replace it to prevent infection

[@anthonyd4771]

Gee that's asking for trouble, Lahiru 😂

[@Firestorm189]

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

[@davidmiller2360]

Hopefully you would realize you're pushing a bunch of propofol through a microbore tubing instead of into the syringe... the resistances are quite different

[@diyprints3725]

I was about to say. This is room for complacency.

[@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?

[@benjaminbufton3696]

this right here
considered increased risk ofo infection reusing syringes for this reason.

[@jenny6253]

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

[@xxdustinadamsxx]

😂 till you turn the valve wrong way accidentally yikes

[@yanferran243]

Welcome to nosocomial infection🎉

[@ncadburns1020]

Michael Jackson's favorite machine.

[@ariyashrestha7206]

What is tha machine called?

[@contorta960]

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. Hmmmmmmmmmm. Isn't propofol super prone to bacteria growth too, so every precaution should be taken. Hmmmmmmmmm

[@Cfundodubes]

this must be TIVA, i've never seen it being done lol, cool

[@KerstinWillett]

Where are the gloves?

[@squidleyskidley]

Don't need gloves to draw up medication…

[@vygandasrazhas5177]

I understand youre in an operating room and probably scrubbed, but where are your gloves?

[@benjaminbufton3696]

clean hands via approrpiate handhygeine and using aseptic key points when doing drug administrations IV, you technically shouldnt need gloves... unless your sloppy practice xD

[@DaniZannie]

I'm 10 years old and .......

[@moritzbluhm3362]

nah

[@jameschurch6822]

This ain't it chief

[@user-pv6vn3tl6w]

Cool!! I havent thought like that way👍