Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Avoiding iatrogenic thrombo-embolism: the “KAPLIT” technique | Chaudhary et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 53 http content 18 1 53 SCANDINAVIAN JOURNAL OF trauma resuscitation emergency medicine LETTER TO THE EDITOR Open Access Avoiding iatrogenic thrombo-embolism the KAPLIT technique Kapil Chaudhary Lalit Gupta Raktima Anand Abstract In patients with traumatic injury of an upper limb it is often necessary to both secure intravenous IV access and record blood pressure noninvasively in the other upper limb. This may cause intermittent obstruction to the flow of IV fluids during cuff inflation. Also backflow of blood into the IV tubing when the cuff is inflated and the temporary stasis which occurs predisposes to clotting of blood in the IV tubing catheter. Overenthusiastic efforts to push IV fluids without disconnection and flushing of IV line may pose a possible risk of embolizing the clotted blood thrombus into circulation. We describe a simple technique to prevent backflow of blood into the IV tubing when both intravenous fluid infusion and non-invasive blood pressure cuff are in the same limb. This may prevent clot formation and eliminate the risk of an iatrogenic thrombo-embolism. Text Patients presenting to the emergency department with multiple trauma often require aggressive fluid resuscitation and constant monitoring of their arterial blood pressure. In patients in whom one upper limb is already compromised as a result of trauma both intravenous IV fluid infusion and non-invasive blood pressure NIBP monitoring have to be done in the other upper limb. IV line placement in the lower limbs is generally avoided because of associated increased risk of thrombophlebitis. Also the appropriate size thigh cuff for NIBP may not be available especially in the emergency department where such cases often present. Venous stasis and hypercoagulabilty state have been documented to predispose to thrombus formation Virchow s triad . Stasis of blood 1 resulting from repeated
