Infusion volume control and calculation using metronome and drop counter based intravenous infusion therapy helper

Abstract

This study assessed the method of fluid infusion control using an IntraVenous Infusion Controller (IVIC). Four methods of infusion control (dial flow controller, IV set without correction, IV set with correction and IVIC correction) were used to measure the volume of each technique at two infusion rates. The infused fluid volume with a dial flow controller was significantly larger than other methods. The infused fluid volume was significantly smaller with an IV set without correction over time. Regarding the concordance correlation coefficient (CCC) of infused fluid volume in relation to a target volume, IVIC correction was shown to have the highest level of agreement. The flow rate measured in check mode showed a good agreement with the volume of collected fluid after passing through the IV system. Thus, an IVIC could assist in providing an accurate infusion control.

Comparison of a Metronome-guided Prehospital Medication Infusion Technique with Manual Calculation: A Simulated Randomized, Controlled, Cross-over Study

“…Park et al compared four methods of infusion control in a cohort of emergency medicine nurses, highlighting the inaccuracy of dial flow controllers and supporting the use of an "intravenous infusion therapy helper" based on a metronome and drop counter. 10 A phone application with a metronome-like flow rate control function was used control the volume of a fluid infusion. Compared to a stopwatch technique, the volume of fluid was more precise with the metronome-based technique, although an additional control was added using a control function within the application to add additional precision.…”

Comparison of a metronome-guided prehospital medication infusion technique with standard calculation: a simulated randomized, controlled, cross-over study

“…The prehospital literature is largely devoid of data describing safe and efficient practices for medication infusion delivery. Park et al compared four methods of infusion control in a cohort of emergency medicine nurses, highlighting the inaccuracy of dial flow controllers and supporting the use of an “intravenous infusion therapy helper” based on a metronome and drop counter [ 11 ]. A phone application with a metronome-like flow rate control function was used control the volume of a fluid infusion.…”

Evaluation of an intravenous preparation information system for improving the reconstitution and dilution process

“…Therefore, our findings need to be confirmed in multiple hospital settings, to enable generalization, and more studies of IPISs are needed. In most countries where IV preparation errors were reported, ready-to-use IV bags, eMARs, and smart pumps with bar codes are not in common use yet [12,13,[22][23][24][25][48][49][50][51][52][53][54]. However, these systems will likely be implemented in the future.…”