Q: What is
large bore IV?
Answer: At least 16 gauge and ideally 12-14
gauge.
As contrary to popular
belief and practice central line is not a large bore or resuscitation
line.
Rapid infusion of volume is based on basic physics of Hagen-Poiseuille
equation. As per Hagen-Poiseuille equation just 2 fold increase in radius
increase flow by 16 fold but 2 fold increase in length decrease flow by 50%.
Technically regularly available central lines (TLC or PICC line)
is not ideal for IVF bolus due to longer length and smaller radius. 2 Large bore
(say 16 gauge) peripheral IVs or one large bore central short IV (cordis) are
real placements for aggressive resuscitation (due to bigger radius and shorter
length).
Point is: Central line or two 18 G
peripherals should not be labeled as large bore IVs.
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