Goodbye, Large-Bore IV Access
Needleless connectors have distinct advantages, especially eliminating needlestick injuries. But they also have the disadvantage of decreasing flow rates, which is problematic when significant volume resuscitation might be required. In these cases, needleless connectors should be removed. Needleless connectors in IV systems have compelling advantages but can also dramatically decrease flow rates. In cases that might require volume resuscitation, needleless connectors may need to be thoughtfully removed to maintain proper vascular access. A systematic review of the literature and a local quality improvement project have led to our conclusion that the application of a needleless connector constitutes perforce saying goodbye to large-bore IV access...

http://www.anesthesiologynews.com/Review-Articles/Article/10-16/Goodbye-Large-Bore-IV-Access/38271
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