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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

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Original poster

To think that four hours was too long

88 replies

pamplem0usse · 09/02/2013 23:49

My 4.5 mo DS needed a medical procedure on fri that required a cannula.
Four doctors attempted for two hours before calling an aneasthetist to have a go. He tried for another hour and a half and failed. There are at least fourteen puncture wounds in his neck alone, each representing several attempts.
I eventually called a halt to it as he'd not been allowed milk for five hours and the procedure would have taken another hour. He wasn't given any form of aneasthetic. They want me to go in for another try next week. would i be being unreasonable to insist we have it done elsewhere?

OP posts:

LunaticFringe · 10/02/2013 11:48

This reply has been deleted

Message withdrawn at poster's request.

LunaticFringe · 10/02/2013 11:49

This reply has been deleted

Message withdrawn at poster's request.

Sirzy · 10/02/2013 11:52

I have no confidence in this hospital

Please insist on being transferred elsewhere preferably to a Childrens hospital but if thats not an option just to a different hospital. You need to have confidence that your child is being treated correctly.

HugAndRoll · 10/02/2013 12:27

What is the other thing they do in an emergency? I ask because on Monday (the day my baby had 17 needles for 1 successful cannula) I was informed that if they couldn't get a vein they would have to do something else which is "not very nice". They did give my ds lots of breaks but they had no choice, a line had to go in and I believe that saved his life as his heart rate was dangerously high and he was completely dehydrated. When they took blood tests through the cannula his blood was thick and "dry".

I'm not condoning what happened to your LO op but do you think deep inside that it was just a case of they didn't want to be defeated or that it was the lesser of two evils as in my ds case?

HugAndRoll · 10/02/2013 12:29

By the way this was in a children's hospital and cannulation was attempted by 2 nurses (one a surgical staff nurse), 2 doctors and a consultant surgeon.

FutTheShuckUp · 10/02/2013 12:30

Inraoessuous which goes through the bone is one option.

HugAndRoll · 10/02/2013 12:33

Thanks fut off to google that now.

ledkr · 10/02/2013 12:34

Or a Hickman line? It's different in an emergency of course but its still ethical to consider the patients pain no matter how young.
I had chemo and towards the end my veins were knackered. I had to sit with my arm in warm water and drink loads to make the veins more plump. Now I can only have needles on my left side so it's always a struggle but they don't just keep digging.

FutTheShuckUp · 10/02/2013 12:34

Ive most probably spelt it shite lol

HugAndRoll · 10/02/2013 12:37

That doesn't look pleasant. Glad they managed to get a line in eventually.

Pobblewhohasnotoes · 10/02/2013 12:37

FutTheShuckUp Sun 10-Feb-13 12:30:13
Inraoessuous which goes through the bone is one option.

Not for a standard procedure it isn't! It's a horrible thing and leaves a scar and is used in an emergency when unable to get fluids into someone.

FutTheShuckUp · 10/02/2013 12:39

I didnt say it was an option for a standard procedure did I? I was responding to HugandRolls post asking what the other option in an emergency situation was...

FutTheShuckUp · 10/02/2013 12:42

And as a qualified paeds nurse I do have a some idea about access in emergency situations...

VivaLeBeaver · 10/02/2013 12:43

Intraosseous access sounds a bit horrific but I'm assured by a colleague its no more painful than ordinary cannulation. He used one of the "bone guns" on himself to see what it felt like and said it was fine.

Pobblewhohasnotoes · 10/02/2013 12:44

And as a qualified paeds nurse I do have a some idea about access in emergency situations...

Yup and I'm a qualified paeds nurse too, and don't think it's a solution.

FutTheShuckUp · 10/02/2013 12:45

Ouch viva what a weirdo! The noise it makes when its sited is bad enough to put me off!

FutTheShuckUp · 10/02/2013 12:46

You dont think its a solution when a child needs fluid resus and going to theatre for a CVC would cause considerable delay?

FutTheShuckUp · 10/02/2013 12:48

What would your 'solution' be though? Bearing in mind the time implications and infection risk of a CVC for an acute emergency?

SauvignonBlanche · 10/02/2013 12:58

I thought it was obvious that Fut was answering this, What is the other thing they do in an emergency? I ask because on Monday (the day my baby had 17 needles for 1 successful cannula) I was informed that if they couldn't get a vein they would have to do something else which is "not very nice"

Intraosseous is taught as a likely way to give fluid to an infant in a resus situation on the PILS.

HugAndRoll · 10/02/2013 12:58

pobble that response was for me as that was a very real solution on Monday for my ds. For him it was 17th time lucky for normal cannulation but it was literally a case of he HAD to have IV fluid and antibiotics or I may not have brought him home on Friday.

HugAndRoll · 10/02/2013 12:59

Sorry to hijack your thread op.

FutTheShuckUp · 10/02/2013 13:00

It is recommended in an emergency as the second choice of access if venous access isn't possible as stated in the Resuscitation Council Guidelines

Teapot13 · 10/02/2013 13:00

I don't think they can use numbing cream on under 1's. They sometimes try it but it causes reactions that make it harder to see the veins.

I know from experience with DD that it can extremely difficult to get a vein in a small baby even for an experienced, competent person but 4 hours is way out of order. I would definitely complain and demand a new plan when they try again.

FutTheShuckUp · 10/02/2013 13:02

You would think after all the medical advances we have seen over the past twenty years at least they would have come up with an easier way to cannulate babies!!

SauvignonBlanche · 10/02/2013 13:05

I think you should complain OP, that sounds awful.you don't need to put in a formal complaint if you don't wish to. Have a chat with the PALS team and push for the referral to G.O.S.

Hop your DS is OK Hug?

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