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Archived Comments for: Avoiding iatrogenic thrombo-embolism: the "KAPLIT" technique

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  1. Comment for the article: 'Avoiding iatrogenic thrombo-embolism: the 'KAPLIT' technique'

    Sohan Solanki, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-India

    11 June 2012

    Editor,
    We read with interest the Letter to the Editor by Chaudhary K et al. [1] entitled `Avoiding iatrogenic thrombo-embolism: the 'KAPLIT' technique¿. This is a good technique for prevention of back flow of blood into intravenous tubing when non invasive blood pressure cuff and intravenous line are on same limb. This technique has been used routinely at many centers including ours for a long time by anesthesia providers. It cannot be labeled as an innovative technique precisely because there is nothing new in this technique, neither in terms of common awareness nor in terms of documentation in literature. This so called KAP-LIT technique (may be on the name of first two authors of this article) for prevention of backflow of blood into the intravenous tubing, has been mentioned in literature 2 decades ago first by Brin EN et al. [2] and later also by Wait CM [3]. Our concern is that authors of the article should have mentioned the original idea of the previous articles in there discussion and should not give their name to a technique well documented in literature and subject of general awareness.

    We would rather appreciate Kondo M et al. [4] also describing an alternative interesting and innovative technique for prevention of back flow of blood into intravenous line that can be assembled from easily available means inside the operating room.

    References:
    1. Chaudhary K, Gupta L, Anand R. Avoiding iatrogenic thrombo-embolism: the 'KAPLIT' technique. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2010;18:53
    2. Brin EN, Lewin TC, Brin JA. A simple method for reducing backup of blood into intravenous lines caused by inflation of a blood pressure cuff. Anesth Analg. 1990;71:569.
    3. Wait CM. Blood pressure measurement and intravenous infusion. Anesthesia. 1992;47:1012.
    4. Kondo M, Nomura R, Enoki T. A simple device to prevent back flow of blood into the intravenous line. Anesthesiology. 1998;88:1693.


    Authors:
    Sohan Lal Solanki, MD; Vipin Kumar Goyal, MD
    Senior Residents, Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-Uttar Pradesh (India)
    Correspond to:
    Sohan Lal Solanki, MD
    Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-Uttar Pradesh (India)
    Email: me_sohans@yahoo.co.in
    Phone: +918004904603

    Competing interests

    We do not have any competing interests.

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