#Triple lumen central line gauge professional#

He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of , the RAGE podcast, the Resuscitology course, and the SMACC conference. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world.

He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health.

#Triple lumen central line gauge professional#

He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.Īfter finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. shorter procedure times (2.0 versus 8.0 min, p<0.001)Ĭhris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. higher success rates on first attempt (85% versus 60%, p=0.024) 1.5 mm - 4.5 Fr, totally radiopaque with fixation wings and centimetric graduations from 5 cm from the distal tip 1. In a resuscitation setting, IO access is preferable to CVC insertion if peripheral vascular access cannot be obtained rapidly.Flow rates of 60–100 ml/min of crystalloid, via a 15 gauge tibial intraosseous needle, have been achieved in the adult using the hydraulic pressure of a large syringe, attached to the needle by a three way tap and fed from a standard infusion bag.A needle-free intravenous access connector (a “bung”) should not be used when rapid fluid resuscitation is required as it slows the rate offlow by up to 40% with peripheral cannulae.An over the needle FEP large-bore cannula inserted into a large vein is likely to give a greater flow rate than a Seldinger type polyurethane catheter and would be preferable if all other factors are equal.if a central line is the only obtainable access then the addition of a pressure bag makes a greater difference to rate of flow than it would with a peripheral cannula.a peripheral cannula of size 18G or greater is preferable to infusion by central line for rapid fluid delivery.upper limbs are preferable to lower limbs, especially in CPR.a larger proximal vein is preferable to smaller distal vein.a shorter cannula is preferable to a longer cannula.a large bore cannula is preferable to a narrow bore cannula.