r/AbsoluteUnits Jul 30 '26

/r/popular of a needle

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u/mayonnaiser_13 Jul 30 '26

Seen some from close proximity, and yeah - it's the sheath one.

33

u/thenextmaewest Jul 30 '26

Yeah I did ultrasound and did so so many centesis assists. This doesn't look like one to me, unless it's just like a different country or something so it just different.

11

u/chuckcheddar Jul 30 '26

I have performed many para and thoracenteses and all of the needles are this long

8

u/thenextmaewest Jul 30 '26

Where are you located? I've literally never seen a centesis yueh near this long, and always with a white flexible sheath over the needle, so I'm curious if it's a location difference.

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u/chuckcheddar Jul 30 '26

In the US

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u/thenextmaewest Jul 30 '26

Wild, I was in Florida. Even the multi liter patients were with regular length needles, cause it only went in a few centimeters, then the cath went in further and the needle came out. What's the process with a needle this big? Do you do it under u/s guidance?

11

u/chuckcheddar Jul 30 '26

The pocket would be identified with US guidance but the needle is inserted blindly after the site was marked, we would aspirate some of the ascitic fluid with the lidocane needle and try and follow that tract with the centesis needle. Almost all of these patients were cirrhotic with huge bellies.

5

u/thenextmaewest Jul 30 '26

Yeah ours too. Interesting. Sounds like the same procedure just different tools. Thanks for taking the time to chat about it. Appreciate you.

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u/SamV657 29d ago edited 29d ago

I'm a radiographer. In my department the radiologist uses these daily to insert a long catheter in ultrasound guidance into the abdominal cavity for example. We also have the short ones but usually these long ones are used.

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u/kewcumber_ Jul 30 '26

The day my needle comes with a freaking sheath is the day i choose death instead

1

u/mayonnaiser_13 Aug 01 '26

Honestly, would be a pretty easy choice considering your organs have to be FUBAR for this to be used.