New Video: Nasal Cannula Eye Irrigation

Here’s another video I’ve made with a handy clinical tip for irrigating your patients eyes in the ED. Much more comfortable than a Morgan Lens, and much easier to set up & run.

{youtube}Uf6eiA9q620{/youtube}

Try it out & let me know how it goes. If you have any other neat “Macgyver-esque” tricks for ED procedures leave a comment or email me.

,

5 Responses to New Video: Nasal Cannula Eye Irrigation

  1. monique March 14, 2012 at 4:48 am #

    Thanks Andy for another very practical video. Just wondered if you had a way to modify it to squirt only into one eye (if clearly only one eye has been splashed). I’d imagine the patient would find it annoying to have their unaffected eye irrigated as well – Would it work and be comfortable for the patient if you just moved it across and taped it so that the tips of the nasal cannulae are abutting the lower eyelid?

  2. Drandychapman March 14, 2012 at 7:01 am #

    Hi andy, thanks for the shout out and for taking the tip primetime (pretty sure I heard it on a podcast but happy to claim credit). Recently discovered apnoeic ventilation and now love those cannulae more than ever!

  3. Andy B March 14, 2012 at 1:58 pm #

    Cheers Guys
    Monique: I imagine you could use it for single eye irrigation, you could just shove some blu-tack in to block off one of the holes. Alternatively for single eye irrigation I often just give the patient the end of the giving set tubing to hold over their own eye (ie don’t connect it to the nasal cannula), which seems to work well.
    And Andy – I think we’re just scratching the surface of what nasal cannulae can do…

  4. ambonsall March 27, 2012 at 7:43 am #

    Patients often close their eyes or have blepharospasm in these situations. The uncomfortable Morgan lens at least circumvents this from obstructing the irrigation. Have you found that LA allows the nasal cannulae users to tolerate their injury and the irrigation without closing their eyes & blocking out the irrigating fluid?

  5. Andy B March 27, 2012 at 8:17 am #

    Some patients do have trouble keeping their eyes open, but I find as long as you tell them to keep blinking they get enough of the fluid in. I still think it’s better than the Morgan lens, as I’ve had patients refuse further irrigation after 5-10mins with a Morgan lens due to severe pain (after the LA washes out) which defeats the purpose entirely. It’s also much easier to stop the irrigation & top up the local with the nasal cannuale. Some people have suggested adding lignocaine to the bag of Saline with your Morgan lens, which makes sense in theory, but you may as well just use this technique with the nasal cannulae! I also worry about particulate matter being trapped under the morgan lens (eg with pool chlorine powder in the eye) which is less of a concern with a continuous stream running out of the eye.

Leave a Reply