Forum topic

Is there any reason why an implanted port should not be used to give a rapid bolus of IV fluids (by gravity)? Typically, anesthesia will start a PIV on patients with implanted ports instead of using the port for infusions. We have encouraged the use of ports whenever possible due to patient complaints but anesthesia claims that the "ports are poor access for giving fluid quickly." I understand not being able to use the port for surgeries where the patient may be in a postion that the port is not accessible. Anesthesia does not use a pump for the fluid bolus. Is there any evidence to support not using an implanted port for large fluid boluses given by gravity? What do other anesthesia departments do when the patient has are port..are they using the port or not? Is this just a practice/comfort issue? Most of the ports that would be used (at least at our facility) are 6-8fr. in size and are power injectable and accessed with a 20g p0ower injectable huber needle. Any info would be very much appreciated. Thank you!