Infusion technology: a cause for alarm

Hee, Hwan-Ing; Lim, Suan-Ling; Tan, Shaohua

doi:10.1046/j.1460-9592.2002.00993.x

Cited by 14 publications

(16 citation statements)

References 16 publications

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“…Third, the use of a pressurized infusion pump contributes to the development of compartment syndrome when extravasation occurs 3) . The pressurized infusion pump is a medical device that applies pressure at a consistent speed to inject fluid, and measures the fluid collected from the chamber of the intravenous infusion set 9) . The pressurized infusion pump is currently used extensively for pediatric patients whose volume of distribution is small and who require a more precise adjustment of the rate of fluid injection 9) .…”

Section: Discussionmentioning

confidence: 99%

“…The pressurized infusion pump is a medical device that applies pressure at a consistent speed to inject fluid, and measures the fluid collected from the chamber of the intravenous infusion set 9) . The pressurized infusion pump is currently used extensively for pediatric patients whose volume of distribution is small and who require a more precise adjustment of the rate of fluid injection 9) . Despite this advantage, it has a risk of infusing fluid continuously even when the internal pressure increases because of extravasation in an enclosed space 3) .…”

Section: Discussionmentioning

confidence: 99%

“…Despite this advantage, it has a risk of infusing fluid continuously even when the internal pressure increases because of extravasation in an enclosed space 3) . When intracompartmental pressure is elevated, a pressurized infusion pump would be able to infuse a predetermined amount of fluid by increasing the pressure of infusion, even without triggering the obstruction alarm, whereas intravenous drip injections that act by gravity would not be able to continue to inject in normal capacity or otherwise would have a back flow of fluid 3 9) .…”

Section: Discussionmentioning

confidence: 99%

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Compartment syndrome due to extravasation of peripheral parenteral nutrition: extravasation injury of parenteral nutrition

et al. 2015

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Compartment syndrome is a rare but devastating condition that can result in permanent neuromuscular or soft tissue injuries. Extravasation injuries, among the iatrogenic causes of compartment syndrome, occur under a wide variety of circumstances in the inpatient setting. Total parenteral nutrition via a peripheral route is an effective alternative for the management of critically ill children who do not obtain adequate nutrition via the oral route. However, there is an inherent risk of extravasation, which can cause compartment syndrome, especially when detected at a later stage. Herein, we report a rare case of compartment syndrome and skin necrosis due to extravasation, requiring emergency fasciotomy and skin graft in a 7-month-old boy who was treated with peripheral parenteral nutrition via a pressurized infusion pump. Although we cannot estimate the exact time at which extravasation occurred, the extent and degree of the wound suggest that the ischemic insult was prolonged, lasting for several hours. Pediatric clinicians and medical teams should carefully examine the site of insertion of the intravenous catheter, especially in patients receiving parenteral nutrition via a peripheral intravenous catheter with a pressurized infusion pump.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Compartment syndrome due to extravasation of peripheral parenteral nutrition: extravasation injury of parenteral nutrition

et al. 2015

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“…The linear peristaltic pump has a row of horizontally placed fingers that sequentially compress the intravenous tubing in a wavelike fashion [11,12]. The accuracy of those devices is usually within 5-10% of the selected flow rate [13,14]. The Terufusion TE-112 and Volumed μVP7000 used in the present study are microprocessor-controlled volumetric pumps that use a peristaltic system.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of an Automatic Infusion Controller (AutoClamp) for Intravenous Fluid Administration

Choi¹,

Yoon²,

Lee³

et al. 2015

TOATJ

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Background: This study was purposed to compare in vitro the volumetric accuracy of a newly introduced automatic infusion controller, AutoClamp with that of other commonly used infusion devices. Methods: Four different volumetric infusion devices were used to examine the accuracy: Terufusion TE-112; Volumed μVP7000; AutoClamp; and Infucon. Accuracy was determined for each flow rate (20, 40, 100, and 200 ml/h) by using infusate volumes collected after 3 h of initiating the fluid administration. Accuracy was calculated as the percentage difference between set volume and actual volume delivered. The influences of fluid viscosity and flow resistance on infusion device accuracy were also evaluated. Results: There were no cases of a greater-than-10% difference between set volume and actual delivered volume. The accuracy of the Infucon was significantly less than that of the other devices. Infusion devices proved to be consistent and unaffected by fluid viscosity or flow resistance except for the Infucon. Conclusion: The accuracy of the AutoClamp was comparable to that of other commonly used infusion pumps (Terufusion TE-112 and Volumed μVP7000) regardless of infusate viscosity and flow resistance.This is an open access article licensed under the terms of the (https://creativecommons.org/licenses/by/4.0/legalcode), which permits unrestricted, noncommercial use, distribution and reproduction in any medium, provided the work is properly cited.

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“…This provides a clinical warning of flow faults caused by excessive backpressure downstream in the line. 2 Often, however, fluid leakage fails to yield pressures that would trigger an alarmed state even with low occlusion limit settings, in part, due to low flow rates and skin compliance. 2Y4 It has also been clearly documented that occlusion alarms are not intended to detect catheter infiltration or fluid extravasation, 2,3 although it has been suggested that monitoring flow resistance (rather than pressure) may be a more appropriate method for early detection of these issues.…”

mentioning

confidence: 99%

Pediatric Compartment Syndrome Caused by Intravenous Infiltration

Ibey¹

2012

Annals of Plastic Surgery

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Infusion technology: a cause for alarm

Cited by 14 publications

References 16 publications

Compartment syndrome due to extravasation of peripheral parenteral nutrition: extravasation injury of parenteral nutrition

Compartment syndrome due to extravasation of peripheral parenteral nutrition: extravasation injury of parenteral nutrition

Accuracy of an Automatic Infusion Controller (AutoClamp) for Intravenous Fluid Administration

Pediatric Compartment Syndrome Caused by Intravenous Infiltration

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