Control and Performance Characteristics of Eight Different Suction Biopsy Devices

Sibbitt, Randy R.; Sibbitt, Wilmer L.; Nunez, Sharon E; Kettwich, Lawrence G.; Kettwich, Sharon C.; Bankhurst, Arthur D.

doi:10.1097/01.rvi.0000236837.47302.8e

Cited by 29 publications

(67 citation statements)

References 36 publications

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“…The improvement in physician performance in terms of procedure duration and reduced patient pain with the RPD could not be attributed to practice effects, as the physicians had far more practice with the conventional syringe (1533 Ϯ 812.43 local anesthesia procedures) than the RPD (24.6 Ϯ 18.7 local anesthesia procedures, p Ͻ 0.001). These results suggest that improved physician performance with the RPD in local anesthesia was related to the better intrinsic mechanical control characteristics of the RPD, as has been previously demonstrated (21)(22)(23)(24)(25).…”

Section: Discussionsupporting

confidence: 60%

“…Previous efforts at reducing pain during the administration of local anesthesia have concentrated on proper syringe and needle technique, buffering the local anesthetic agent, and alternative methods to the traditional syringe and needle (8 -19). Because design inadequacies of the traditional syringe promote poor control of the needle during typical syringe procedures, we hypothesized that inadequate control of the syringe and needle also might be contributing significantly to anesthesia administration pain (21)(22)(23)(24)(25).…”

Section: Discussionmentioning

confidence: 99%

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A Randomized, Controlled Trial of the Reciprocating Procedure Device for Local Anesthesia

Nunez

Bedrick

Kettwich

et al. 2008

The Journal of Emergency Medicine

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

A Randomized, Controlled Trial of the Reciprocating Procedure Device for Local Anesthesia

Nunez

Bedrick

Kettwich

et al. 2008

The Journal of Emergency Medicine

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“…Although mechanical syringes have been shown previously to improve immediate procedural outcomes and aspirated Xuid volumes, the present study is the Wrst report of improvements in intermediate and long-term outcomes with a mechanical syringe without image guidance [15,16,19,[22][23][24]. The mechanism for improved outcomes of intraarticular procedures performed with mechanical syringes may be a direct result of more successful arthrocentesis, reduced intraarticular Xuid volume, greater intraarticular accuracy, higher intraarticular concentrations of corticosteroids, and less intraarticular trauma and hemorrhage, all of which have been demonstrated to improve outcome [2, 4-6, 12, 20, 23].…”

Section: Discussionmentioning

confidence: 95%

“…1, 2). This device permits detection of small amounts of synovial Xuid that Xash back into the barrel conWrming true intraarticular positioning and provides enhanced control [5,15,16,19].…”

Section: Injection Techniquementioning

confidence: 99%

The outcomes and cost-effectiveness of intraarticular injection of the rheumatoid knee

et al. 2011

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Although intraarticular injections are important to the management of rheumatoid arthritis, there are few studies regarding the cost-effectiveness of alternative injection techniques. This randomized controlled study addressed the cost-effectiveness of two different low-cost, anatomic landmark palpation-directed intraarticular injection techniques. Ninety-six symptomatic rheumatoid knees were randomized to two different low-cost, palpation-guided intraarticular injection techniques utilizing (1) a conventional syringe or (2) a mechanical syringe, the RPD (the reciprocating procedure device). Three milliliters of 1% lidocaine were used to anesthetize the synovial membrane, followed by arthrocentesis and hydrodissection, and injection of 80 mg of triamcinolone acetonide utilizing the one-needle two-syringe technique. Baseline pain, procedural pain, aspirated fluid volume, pain at outcome (2 weeks and 6 months), responders, reinjection rates, cost/patient/year, and cost/responder/year were determined. Pain was measured with the 10 cm Visual Analogue Pain Scale (VAS). Both techniques significantly reduced pain scores at outcome from baseline (P < 0.001). The mechanical syringe technique resulted in a greater volume of aspirated fluid (P < 0.01), a 38% reduction in procedural pain (P < 0.001), a 24% reduction in pain scores at outcome (P < 0.03), an increase in the responder rate (P < 0.025), 33% increase in the time to next injection (P < 0.001), 23% ($35 US) reduction in cost/patient/year for a patient treated in a physician office (P < 0.001), 24% reduction ($26 US) in cost/patient/year for a hospital outpatient (P < 0.001), and 51% ($151 US) reduction in cost/responder/year (P < 0.001). The outcomes and cost-effectiveness of intraarticular injection of the rheumatoid knee can be improved significantly with low-cost alternations in technique.

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“…Sibbit et al 68 have found the conventional syringe to be unsuited for aspiration during FineNeedle Aspiration Cytology (FNAC). Robinson et al 69 reported a similar experience using conventional syringes for amniocentesis.…”

Section: Special Areasmentioning

confidence: 99%

Aspiration in injections: should we continue or abandon the practice?

et al. 2017

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Aspiration during any kind of injection is meant to ensure that the needle tip is at the desired location during this blind procedure. While aspiration appears to be a simple procedure, it has generated a lot of controversy concerning the perceived benefits and indications. Advocates and opponents of aspiration both make logically sound claims. However, due to scarcity of available data, there is no evidence that this procedure is truly beneficial or unwarranted. Keeping in view the huge number of injections given worldwide, it is important that we draw attention to key questions regarding aspiration that, up till now, remain unanswered. In this review, we have attempted to gather and present literature on aspiration both from published and non-published sources in order to provide not only an exhaustive review of the subject, but also a starting point for further studies on more specific areas requiring clarification. A literature review was conducted using the US National Institute of Health's PubMed service (including Medline), Google Scholar and Scopus. Guidelines provided by the World Health Organization, Safe Injection Global Network, International Council of Nursing, Center for Disease Control, US Federal Drug Agency, UK National Health Services, British Medical Association, Europe Nursing and Midwifery Council, Public Health Agency Canada, Pakistan Medical Association and International Organization of Standardization recommendations 7886 parts 1-4 for sterile hypodermics were reviewed for relevant information. In addition, curricula of several medical/-nursing schools from India, Nigeria and Pakistan, the US pharmacopeia Data from the WHO Program for International Drug Monitoring network in regard to adverse events as a result of not aspirating prior to injection delivery were reviewed. Curricula of selected major medical/nursing schools in India, Nigeria and Pakistan, national therapeutic formularies, product inserts of most commonly used drugs and other possible sources of information regarding aspiration and injections were consulted as well.

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Control and Performance Characteristics of Eight Different Suction Biopsy Devices

Cited by 29 publications

References 36 publications

A Randomized, Controlled Trial of the Reciprocating Procedure Device for Local Anesthesia

A Randomized, Controlled Trial of the Reciprocating Procedure Device for Local Anesthesia

The outcomes and cost-effectiveness of intraarticular injection of the rheumatoid knee

Aspiration in injections: should we continue or abandon the practice?

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