[CARPA] benzathine needle jams

[Sabina Knight]

Because of the amount - I used a larger bore needle to reduce resistance
- 19 G  so the same prep as LA - I found  a gentle rocking for mixing
and then immediate injection was successf diatracted / delayed it was
sticky and hard to complete - one I had to reinject - not popular. I
looked it up - no advice found
Sabin
 
Sabina Knight
Senior Lecturer Remote Health Practice & CRANA Research Fellow
Centre for Remote Health
Ph 61 8 89514709
Mob 0417823933
 
a
> "Alex Hope" <alex.hope at ltyentyeapurte.com.au> 12/01/2007 11:15 am
>>>
G'day All,

is it just us mob?

We are having a lot of trouble with the Pan Benzathine product,
no matter how well we mix it, and whether with water or lignocaine,
and despite running it in and out of a syringe through a needle into
the vial,
when giving the actual injection the stuff jams part way through.
sometimes you can retrieve it by jiggling the plunger, sometimes you
can't.
Then you pull the needle out, and try squirting it through and hey
presto, the bloody thing is unblocked!

But you won't always get a second or third go at the patient's
backside!

we are using 21G needles for giving, some say even with a 19G needle
(in adults for RHD prophylaxis) it will jam up.

Anyone else having the same trouble?

Any clues as to how to get around it?Dr Alex Hope

Community GP,
Ltyentye Apurte Community Government Council Health Centre,
CMB Santa Teresa,
via Alice Springs,
NT 0872.

Ph  08 8956 0911
Fax 08 8956 0910
Mobile 0408 085 143



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