[IPp] Re: types of sites
Our just-turned-two-year-old uses the Quicksets - 6mm long cannula, 23
inch long tubing. This is what our CDE told us to use, and it hasn't
been a problem so we haven't changed. We have used them both in
Sigrid's upper buttocks and in her thighs (same places you used to give
shots). Only had a kink once in six months so far. There have been
lots of parents on this list indicate that their kids had problems when
using the Quick-sets in the tummy (e.g., kinking), so we haven't tried
that. Arms theoretically should work as well as legs, but I think the
tubing would be "in the way".
She has gotten quite used to the site changes - she yelps for no more
than two seconds when it goes in, but that's it. Sometimes she doesn't
complain at all. The inserter device is a big help in making this
happen in the blink of an eye. Also, she now insists on playing with
the inserter after it's done its thing - maybe this makes her feel she
has some control over the situation. For us, using Emla or Ela-max to
numb the area before insertion didn't actually help - it just got her
keyed up for the half-hour you needed to wait for it to work - and then
the sites didn't stick well anyway (unless you washed the skin
thoroughly, and dried, before attaching the new site.) So for Sigrid,
the unanesthetized, two-second approach seems to work best. We change
her site three times a week - Tuesday and Thursday evenings, and Sunday
morning. This is pretty close to the recommended every-two-days, but
easier to remember. We use skin-prep, and the sites have stuck very
well with this. The few sites that have come off have usually been
after a warm bath, and after we had used Ela-Max on the skin before
We haven't tried the Silhouette (longer cannula, at a sharp angle - vs.
the quickset 6 mm or 9 mm cannula at a right angle) but lots of parents
on the list have indicated that it works well. The main complaint
seems to be that the long needle is scary-looking.
pumpmama to Sigrid, dx'd @ 11 mos., pumping since 17 mos., just turned
two this October.
On Friday, October 24, 2003, at 12:01 AM, pop-digest wrote:
> What is the difference between the silhouette and quick set? We just
> pumping on Tuesday and use the sil-serter because that's what "They"
> gave us.
> the quick set less painful? Also the nurse from Minimed told us we
> could use
> arm, thigh,butt and abdomen. The abdomen anywhere from an inch away
> from the
> navel around to the back. As long as you could pinch up skin you
> could use it
> a site. I personally think I will just stick to the stomach for a
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