Functional evaluation and practice survey to guide purchasing of intravenous cannulae
1 Department of Anaesthesia, Royal Darwin Hospital, Tiwi, NT 0810, Australia
2 Department of Anaesthesia, Austin Hospital, Heidelberg, VIC 3084, Australia
3 Centre for Anaesthesia, Perioperative and Pain Medicine, The University of Melbourne, Parkville, VIC 3053, Australia
BMC Anesthesiology 2013, 13:49 doi:10.1186/1471-2253-13-49Published: 24 December 2013
There are wide variations in the physical designs and attributes between different brands of intravenous cannulae that makes product selection and purchasing difficult. In a systematic assessment to guide purchasing, we assessed two cannulae – Cannula P and I. We proposed that the results of in-vitro performance testing of the cannulae would be associated with preference after clinical comparison.
We designed an observer-blinded randomised head-to-head trial between the 18, 20 and 22 gauge versions of Cannula P and I. Our primary end-point was pressure (mmHg) generated during various flow rates and our secondary end-point was the force (Newton) required to slide the catheter away from the needle. This was followed by a prospective electronic survey following a two-week clinical trial period.
The mean difference in resistance between Cannula P and I was: 307 mmHg.L-1.hr-1 (95% CI: 289–325, p < 0.001) for 22G; 135 mmHg.L-1.hr-1 (95% CI: 125–144, p < 0.001) for 20G; and 27 mmHg.L-1.hr-1 (95% CI: 26–28, p < 0.001) for 18G. The mean difference in the force needed to displace the catheter away from its needle was: 1.41 N (95% CI: 1.09-1.73, p < 0.001) for 22G; 0.19 N (95% CI: -0.04-0.41, p = 0.12) for 20G; and 1.96 N (95% CI: 1.40-2.52, p < 0.001) for 18G. After a trial period, all 16 anaesthetist who had used both cannulae preferred Cannula I to P.
The evaluation process described here could help hospitals improve efficient product selection and purchasing decisions for intravenous cannulae.