If you click on that link, a window for Amazon will open up and I will earn between a 1-3% commission at no expense to you. You could also support my work by clicking on my Amazon Affiliate links prior to ordering things off of Amazon.įor example, if you want to learn more about Mechanical Ventilation, I recommend starting off with The Ventilator Book by Will Owens. You have to look at ads on this website, listen to them on my podcast and YouTube content. My efforts are at no cost to you and I would like to keep it that way. I have posted many articles on resuscitation and fluid responsiveness that you can check out HERE. Photo credits for Arrow/Teleflex ProductsĬopyright gods: If the photos posted upset you, let me know and I will take them off.
When someone yells “cordis” or “mac introducer”, you’ll know.
#Arrow or edwards triple lumen catheter mac#
Next time you are curious about the differences between a cordis and a mac introducer, you’ll know. Familiarize yourself with where it is because the day you need it, the patient NEEDS it. Your friendly neighborhood ICU should have one of these introducers in stock. There are other manufacturers who make similar products that I am not going to cover here for the sake of time. That means that a liter of fluid can be infused in 8 minutes and 3 minutes respectively. The Cordis has a flow rate of 126cc/min but with a pressure bag that could increase to 333cc/min. More information regarding the sizes can be found on their order form here. The former being for IJ access and the latter for femoral access. There are two lengths of the large-bore cannula: 11cm and 23cm. For the sake of rapid infusion, the sizes go from 8-11 french. What size is a Cordis?Ī Cordis/AVANTI comes in many sizes. Cardinal Health parent company of Cordis. You can also float a swan ganz catheter, also known as a PA catheter, or a transvenous pacer through this puppy. This also is a type of central line. No one, at least to my knowledge, says “grab me an Avanti”!Ī Cordis is the same sheath introducer, but only has one side port. We use the word “Cordis” colloquially but it really means the AVANTI+ sheath introducer. You may ask, what is a Cordis? A Cordis is also an introducer, but the word “Cordis” is the name of the company. It removes one step which is great in an emergency resuscitation scenario. The MAC also has the dilator in the catheter which I personally like because you don’t have to run the dilator over the wire first and then run the catheter over it. It is essentially like a “Cordis” but it could have another lumen. You could float a swan or transvenous pacer through many MACs, but not all. You may say to yourself, well Eddy, a triple lumen catheter should be a MAC line too! You’re not wrong, but we can’t make this already challenging job easier on ourselves, right? MAC introducers can come with anywhere from one to three lumens, hence the name Multi-lumen Access Catheter. MAC is a trademarked name that stands for multi-lumen access catheter. You may ask what is a MAC introducer? A MAC introducer is a proprietary product from Arrow/Teleflex. The two devices that I am mentioning here are primarily designed to be placed in the femoral vein or the internal jugular vein. But there are times when patients mean business and they needs the best and a catheter of this type is necessary. Many times you do not need an off the shelf triple lumen central line. You can get A LOT done in a massive bleed with two solid 16 gauge peripheral IVs. I will make this clear, though, as I posted this earlier in the life of my Instagram page. Non-standard for that institution, of course. But depending on what institution you work at, you may get a funny look on your face if you ask for it by the non-standard name. I mean, aren’t they both just large bore central lines for the purpose of infusion blood quickly or floating a central line? Well yes, they are. Quick! We need to resuscitate this patient with blood STAT! Call for the massive transfusion protocol and grab me a Cordis STAT!ĭo you know what it means if they asked for an introducer?Īs mentioned, for many years I was confused myself. I used to hear these words called out in an emergency situation as follows: When I was starting my medical training, I had no idea what the difference was between a Cordis and a MAC introducer.
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