{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T16:45:26Z","timestamp":1761669926365,"version":"build-2065373602"},"reference-count":8,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2013,9,24]],"date-time":"2013-09-24T00:00:00Z","timestamp":1379980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Multi\u2010lumen extensions used to infuse multiple fluids via a single intravenous cannula might increase resistance and so limit the flow that can be achieved. We constructed low\u2010pressure and high\u2010pressure models and compared the effect of two different multi\u2010lumen extensions on flow rate. Both multi\u2010lumen extensions reduced flows by up to 76% (p\u00a0&lt;\u00a00.001). The effect was greatest with large cannulae and in the high\u2010pressure model, with the longer and narrower extension most impeding flow. Multi\u2010lumen extensions can therefore significantly impede fluid flow, and should be avoided or removed when rapid infusion is required. These effects are less important in paediatric anaesthesia where smaller cannulae are used. Manufacturers should include internal diameter or flow effects on the packaging of these extensions to assist clinicians in making such decisions.<\/jats:p>","DOI":"10.1111\/anae.12443","type":"journal-article","created":{"date-parts":[[2013,10,11]],"date-time":"2013-10-11T18:02:12Z","timestamp":1381514532000},"page":"1239-1242","source":"Crossref","is-referenced-by-count":3,"title":["Influence of multi\u2010lumen extensions on fluid flow through intravenous cannulae"],"prefix":"10.1111","volume":"68","author":[{"given":"D. M.","family":"Levine","sequence":"first","affiliation":[{"name":"Wellington Regional Hospital Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. L.","family":"Garden","sequence":"additional","affiliation":[{"name":"Wellington Regional Hospital Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. T.","family":"Truong","sequence":"additional","affiliation":[{"name":"Wellington Regional Hospital Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Bergemann","sequence":"additional","affiliation":[{"name":"Wellington Regional Hospital Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Eames","sequence":"additional","affiliation":[{"name":"Hutt Hospital Lower Hutt New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e3181966451"},{"key":"e_1_2_6_3_1","first-page":"A4","article-title":"Effect of small extension tubing on intravenous flow rate","volume":"49","author":"Wood D","year":"2002","journal-title":"Canadian Journal of Anesthesia"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(94)70063-X"},{"key":"e_1_2_6_5_1","first-page":"457","article-title":"Evaluation of 3\u2010mm diameter intravenous tubing for the rapid infusion of fluids","volume":"23","author":"Cross GD","year":"1987","journal-title":"Archives of Emergency Medicine"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2346.1997.00151.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2005.04239.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12287"},{"key":"e_1_2_6_9_1","first-page":"88","article-title":"Effect of a non\u2010return Y\u2010piece and extension tubing on flow rates via an intravenous giving set","volume":"61","author":"Mackenzie MJ","year":"2006","journal-title":"Anaesthesia"}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fanae.12443","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fanae.12443","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anae.12443","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T16:36:42Z","timestamp":1761669402000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/anae.12443"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,24]]},"references-count":8,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["10.1111\/anae.12443"],"URL":"https:\/\/doi.org\/10.1111\/anae.12443","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"type":"print","value":"0003-2409"},{"type":"electronic","value":"1365-2044"}],"subject":[],"published":{"date-parts":[[2013,9,24]]}}}