A Cool Little Tool for Central Lines

I have on rare occasions, if you enter a vessel (IJ approach), which you are unclear if carotid or IJ (in the absence of obvious/immediate pulsatile after you disconnect syringe, ex hypotensive/narrow pulse pressure), you could temporarily attach a flushed leur lock, have an non-scrubbed assistant sterile hand off a extension, undo the leur-lock, and transduce a waveform off of that catheter to see CVP waveform or arterial waveform (i.e. badness). Obviously lots of other ways to verify what vessel your in that are less cumbersome, but it’s another use and safer than dilating a carotid.

Sometimes your wire won’t advance due to stenosis etc.. while all gowned in and disappointed, you can throw that little guy in as an EJ and buy time till a new site is considered..

Great video Haney. In the days before the widespread use of IOs during codes, we would use that for a quick femoral line. Also, I would consider using that for a pericardiocentesis if I did not have a formal kit available.

If I bend my wire but don’t want to completely come out of the vessel and have to start over, this catheter is flexible enough to go over a bent wire. You have your place in the vessel without completely coming out then you can just get a new wire.