Hypodermoclysis

Schen, Rafael J.

doi:10.1001/jama.1983.03340130024016

Cited by 19 publications

(12 citation statements)

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“…Our results with a SC nutrition solution are consistent with previously published reports of studies with SC hydration fluids 1 – 6 . For example, Schen et al 3 , 5 reported their experience of administering 4500 SC infusions in 634 patients. Few adverse effects were noted, the most common being fluid overload.…”

Section: Discussionmentioning

confidence: 99%

Safety and Efficacy of Subcutaneous Parenteral Nutrition in Older Patients: A Prospective Randomized Multicenter Clinical Trial

Zaloga

Pontes-Arruda

Dardaine-Giraud

et al. 2016

J Parenter Enteral Nutr

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Section: Discussionmentioning

confidence: 99%

Safety and Efficacy of Subcutaneous Parenteral Nutrition in Older Patients: A Prospective Randomized Multicenter Clinical Trial

Zaloga

Pontes-Arruda

Dardaine-Giraud

et al. 2016

J Parenter Enteral Nutr

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“…22 There are other study limitations. No previous studies have identified side effects of concern associated with EASI infusion, but the virtual absence of any side effects in this study is important.…”

Section: Discussionmentioning

confidence: 99%

Basic-Level Emergency Medical Technician Administration of Fluids and Glucose via Enzyme-Assisted Subcutaneous Infusion Access

Soremekun

Shear

Connolly

et al. 2012

Prehosp. Disaster med.

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“…Localized edema of the genital area is the most common untoward effect 22 ; however, the prevalence is only .8% in Schen's experience 22 . It occurs particularly after infusion into the abdominal wall, is harmless, and it always disappears after hypodermoclysis ends.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous Infusion or Hypodermoclysis: A Practical Approach

Ferry

Dardaine

Constans

1999

J American Geriatrics Society

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The aim of this practical review was to revalidate subcutaneous infusion or hypodermoclysis in the older subject and to set out its indications and limitations, its contraindications, and its techniques and methods of surveillance. Hypodermoclysis is an effective technique for the prevention or cure of moderate dehydration, although it cannot be used in place of intravenous infusion in cases of severe dehydration. Hypodermoclysis is simple and safe. It is the least aggressive of infusion techniques and thus avoids hospital, admission and reduces health costs. Infusion of a solution of amino acids can also limit the consequences of low protein intake for a short period of time, but it will not cure severe malnutrition. The many advantages and the few disadvantages of this technique should encourage its wider use in geriatrics. SUBCUTANEOUS INFUSION OR HYPODERMOCLYSIS: A PRACTICAL APPROACHSubcutaneous infusion or hypodermoclysis was first used to overcome dehydration in pediatric patients.' However, the complications, such as pain, sepsis, and shock -which were, in fact, most often linked to practical errors -meant that it was almost abandoned in the 1950s.'The risk of dehydration is a common problem in older patients, both at home and in institution^.^ Warren et a1.4 reported that 7% of all acute admissions of older patients were associated with dehydration. Moreover, 25% of febrile older patients in nursing homes suffer from dehydration, sometimes fatally, because fluid intake is lower than the amount required, and referral to an acute unit is often necessary.' Berger stated in 1984 that in nursing homes, instigating subcutaneous infusion is often preferable to calling an ambulance.6 A recent study confirmed that effective hypodermoclysis, which is achieved in 71% of patients, reduces the need for transfer, and hence costs, ~ubstantially.~ Lipschitz's study validated the subcutaneous administration of fluids by demonstrating that a saline infusion labeled with tritium and technetium was absorbed as effectively subcutaneously as by the intravenous routea8 Dardaine et aL9 reported the metabolic and hormonal effects induced by a glucose/saline solution (5% glucose solution containing 4 g NaCI) administered by intravenous and subcutaneous routes. The smaller and delayed metabolic and hormonal changes From the 'Service de GCriatrie, HBpital de Valence, 26953 Valence Cedex 9, and tI-16pital de I'Ermitage, CHU dc Tours, 37081 Tours Cedcx 2, France.

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Hypodermoclysis

Cited by 19 publications

References 0 publications

Safety and Efficacy of Subcutaneous Parenteral Nutrition in Older Patients: A Prospective Randomized Multicenter Clinical Trial

Safety and Efficacy of Subcutaneous Parenteral Nutrition in Older Patients: A Prospective Randomized Multicenter Clinical Trial

Basic-Level Emergency Medical Technician Administration of Fluids and Glucose via Enzyme-Assisted Subcutaneous Infusion Access

Subcutaneous Infusion or Hypodermoclysis: A Practical Approach

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