Type of canula with there colour and uses

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IV Cannula - Colour Coding, Gauge Sizes & Uses

What Is an IV Cannula?

An IV (intravenous) cannula is a hollow plastic tube inserted into a vein to deliver fluids, medications, or blood products. The international colour-coding system (ISO 10555-5) allows healthcare staff to instantly identify the correct size without reading small print - reducing errors and saving time in emergencies.
Key rule: Lower gauge number = larger bore = faster flow rate.

Standard IV Cannula Colour Chart

ColourGaugeOuter DiameterLengthFlow RatePrimary Uses
🟠 Orange14G2.10 mm45 mm~240-290 mL/minMajor trauma, massive haemorrhage, rapid fluid resuscitation, emergency surgery
Grey16G1.70 mm45 mm~176-180 mL/minSurgery, ICU, trauma, rapid blood/fluid transfusion
White17G1.50 mm45 mm~130 mL/minGeneral surgery, blood transfusion (less common)
🟢 Green18G1.30 mm45 mm~76-90 mL/minBlood transfusions, CT contrast injection (PE protocol), rapid fluid administration, general adult use
🩷 Pink20G1.00 mm33 mm~54-60 mL/minStandard IV medications, routine fluid therapy, blood draws, most common general-purpose cannula
🔵 Blue22G0.85 mm25 mm~31-36 mL/minElderly patients with fragile veins, children, slow IV medications, routine fluids
🟡 Yellow24G0.70 mm19 mm~14-20 mL/minPaediatric patients, neonates, very fragile or small veins, low-volume infusions
🟣 Violet/Purple26G0.60 mm19 mm~13 mL/minNeonates, premature infants, extremely fragile veins - not used in adults

Types of Cannula

Beyond the standard peripheral IV cannula, other types include:
TypeDescriptionUses
Peripheral IV CannulaMost common type, inserted into peripheral veins (back of hand, forearm, antecubital)General drug/fluid delivery
Central Venous Catheter (CVC)Long catheter into large central veins (subclavian, jugular, femoral)TPN, CVP monitoring, long-term therapy, chemotherapy
Arterial CannulaInserted into an artery (usually radial)Continuous blood pressure monitoring, frequent ABG sampling in ICU
Nasal CannulaSoft prongs placed in nostrils (not IV)Supplemental oxygen delivery
Butterfly/Scalp Vein SetShort needle with plastic wingsPaediatric/neonatal use, single-dose injections, fragile veins
Midline CatheterIntermediate length (8-20 cm), into basilic or cephalic veinMedium-term IV therapy (1-4 weeks)
PICC LinePeripherally inserted central catheterLong-term IV therapy, chemotherapy, TPN

How to Choose the Right Cannula

  • Emergency/Trauma - Use 14G (orange) or 16G (grey) for maximum flow
  • Blood transfusion - 16G or 18G preferred; avoid 24G as it may lyse red blood cells
  • CT with contrast - 18G minimum, preferably in the antecubital fossa
  • Routine medications - 20G (pink) is the standard adult choice
  • Elderly/fragile veins - 22G (blue) or 24G (yellow)
  • Children - 22G (blue) or 24G (yellow) depending on age
  • Neonates - 24G (yellow) or 26G (violet)

Parts of an IV Cannula

  1. Catheter - soft plastic tube that remains in the vein
  2. Needle stylet - sharp metal needle used for initial insertion, removed afterward
  3. Flashback chamber - shows blood return confirming correct placement
  4. Luer lock - connects to IV tubing
  5. Wings - allow secure taping to skin
  6. Injection port - allows drug administration without disconnecting the line
  7. Safety clip - covers needle after removal to prevent needlestick injury

Why Colour Coding Matters

  • Instant identification without reading packaging in an emergency
  • Reduces wrong-size selection errors
  • Universal standard across most countries
  • Allows non-verbal communication in multilingual teams
Note: Always follow your institution's protocols. Flow rates can vary slightly by manufacturer. For blood transfusions, confirm minimum gauge requirements per local policy (usually 18G or larger).
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