transfusion needle size

[tkakin]

I was asked by a nurse if it is ok to switch from the 20 gauge size needle, to transfuse red cells, to the 25 gauge size needle. She has an article to support this change:

2007 Acqullo “blood transfusion flow rate – J Assos Vasc Access 2007: 12(4) pages 225-226.

Are any of your facilities using a 25 gauge needle?

Thanks

Teresa

[David Saikin]

I don't know if that is a good idea if transfusion utilizes a pump for the infusion. I believe we try to use 18g catheter.

[MAGNUM]

20 ga is the smallest size needle that is allowed, with a preference toward the 18-16.

[Mabel Adams]

Maybe the hospital librarian can get you the article so you can see what it is saying.  Or maybe the nurse has a copy? Seems awfully small to me.

[Mabel Adams]

The Tech Manual section on blood administration lists needle sizes and flow rates.

[Jennie Batsel]

From the Tech Manual:  "Acceptable intravenous catheter sizes for use in transusing cellular blood components range from 22-14 gauge.  20 - 18 gauge is a good compromise for the general adult population and provides adequate flow rates without excessive discomfort to the patient.  In patients with small veins or in need of rapid flow rates, the catheter size should be adjusted accordingly.  When tranfusing an infant or toddler, a 24 to 24 gauge intravenous catheter may be suitable but requires infusion through a syringe.  With the use of smaller catheters, blood dilution and a pump are helpful to administer the unit to prevent slow flow rates that lead to clogging of the intravenour catheter."