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A Rapid Infusion System Using a Three-Way Stopcock with Two No-Return Valves

Ozaki, Masayuki, MD; Minami, Kouichiro, MD, PhD; Shigematsu, Akio, MD, PhD

doi: 10.1097/00000539-200211000-00072
LETTERS TO THE EDITOR: Letters & Announcements
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Department of Anesthesiology

University of Occupational and Environmental Health

School of Medicine

Kitakyushu, Fukuoka, Japan

To the Editor:

Injecting manually with a syringe has been used to start rapid infusion for sudden massive bleeding. We present a useful method using a three-way stopcock with two no-return valves for rapid infusion. In this method, we connected two no-return valves (JMS, Hiroshima, Japan) to both sides of a three-way stopcock (JMS) (Fig. 1). Pumping the cylinder of the syringe up and down can generate appropriate volume flow to one side without circling the cock of the three-way stopcock. We compared the flow rate using this system to that of one using a three-way stopcock without the no-return valves. Using a volunteer, we measured the volume of the water that could be infused within 20 seconds using either the system (the nonreturn group) or a three-way stopcock without the no-return valves (the three-way group). In the three-way group, 54.8 ± 3.0 ml of water was infused per 20 seconds (n = 8). In the nonreturn group, about two times the volume of water was infused (98.2 ± 6.0 ml/20sec, n = 9, p<0.001 versus the three-way group, paired t-test). We have already used the system for 3 months; in that time, there have been no complications (such as infusion of air or hemolysis). The rapid infusion system using a three-way stopcock with two no-return valves should be considered for rapid infusion for massive bleeding.

Figure 1

Figure 1

Masayuki Ozaki, MD

Kouichiro Minami, MD, PhD

Akio Shigematsu, MD, PhD

© 2002 International Anesthesia Research Society