Laboratory Evaluation of the Go Medical PCI: A Disposable Patient-Controlled Analgesia Device

Mackey, N. A.; Ilsley, A. H.; Owen, Harry; Plummer, John L.

doi:10.1177/0310057x9302100213

Cited by 12 publications

(3 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This flow pattern is common to all elastomeric pumps (18-20) and is due to variations in pressure within a stretched elastomeric reservoir (21). This variation in infusion rate is considered clinically acceptable with no hazard to patients (22, 23). Using medications with relatively long half-life and the time pattern of postoperative pain make the use of disposable pumps justified for postoperative analgesia.…”

Section: Discussionmentioning

confidence: 99%

The flow Rate Accuracy of Elastomeric Infusion Pumps After Repeated Filling

Mohseni

Ebneshahidi²

2014

Anesth Pain Med

View full text Add to dashboard Cite

Background:One of the frequent applications of elastomeric infusion pumps is postoperative pain management. In daily practice, the disposable pumps get refilled with modified medication combinations in the successive days; although, the accuracy of infusion rates is unknown to clinicians.Objectives:Our aim was to evaluate the effect of repeated filling on the delivery rate accuracy of an elastomeric pump available in our market.Materials and Methods:We examined 10 elastomeric infusion pumps (BOT-802, Nanchang Biotek Medical Device Company, China) with 100 mL capacity and nominal flow of 5 mL/h. Each pump was filled for three times, accounting for 30 series of experiments. A microset scaled in mL was used to measure the pump deliveries. Flow profile and reliability of infusion rate were analyzed after repeated use.Results:The mean flow rate in the three series of measurements showed a gradual increase; however, the difference was not statistically significant (5.01 ± 0.07 vs. 5.03 ± 0.06 vs. 5.06 ± 0.08 mL/h; P = 0.81). The percentage of the flow rate error (deviation from 5 mL/h ± 15%) was 100% in the first and second hours of infusion, 96% in the third hour, 60% in the 20th hour and zero percent in the rest of the infusion time.Conclusions:This study indicated that the delivery rate accuracy of elastomeric infusion pumps is preserved after repeated usage. These laboratory findings suggested that elastomeric pumps could be safely refilled in the successive days to provide postoperative analgesia.

show abstract

Section: Discussionmentioning

confidence: 99%

The flow Rate Accuracy of Elastomeric Infusion Pumps After Repeated Filling

Mohseni

Ebneshahidi²

2014

Anesth Pain Med

View full text Add to dashboard Cite

show abstract

“…Some patients may have intentionally injected smaller volumes as a means of titrating the dose against effects and sideeffects. An additional factor that may have predisposed to lower drug consumption in the disposable group is a tendency for apparatus of this design to under-deliver with time; however, this was thought unlikely to be of clinical significance in a laboratory analysis of an intravenous PCA device from the same manufacturer (6).…”

Section: Discussionmentioning

confidence: 99%

“…Injector (figure I ) is similar t o an intravenous model that was described previously (6). Patients depress a spring-loaded syringe plunger to receive a nominal 4 mL bolus which is injected first into a small elastic reservoir then via a filter into the epidural catheter over 5-10 seconds.…”

Section: Usa) the Patient Controlled Epiduralmentioning

confidence: 99%

Patient‐Controlled Epidural Analgesia After Caesarean Section Using a Disposable Deviee

Kee

Marlene

Gin

1997

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

Summary: We have evaluated the use of a disposable device, the Patient Controlled Epidural Infusor, for patient‐controlled epidural analgesia (PCEA) using pethidine, for pain relief in the first 24 hours after elective Caesarean section. Patients using the Patient Controlled Epidural Infusor (n = 20) were compared with a control group (n = 20) who received PCEA using a standard electronic device. Efficacy, as assessed by visual analogue scores, was comparable to that achieved in the control group. Patient and nursing satisfaction was high and similar to that in die control group. There was a low incidence of side‐effects with both devices. Patients using the disposable device used less pethidine than patients using the electronic device (median (interquartile range) 181 (100–275) mg versus 238 (213–375) mg; p = 0.035). Use of this disposable device is an acceptable alternative to more expensive and bulkier electronic devices for PCEA after Caesarean section.

show abstract

A Review of the Restrictive Flow Infusion Devices Available for Parenteral Drug Therapy

Capes¹,

Ferrari

1997

The Australian Journal of Hospital Pharmacy

View full text Add to dashboard Cite

Restrictive flow devices use a restriction to control the outflow of pressurised fluid. The two most common types of restrictive flow device available are elastomer and spring powered. The former includes the Homepump, lnfusor and Intermate and they consist of a highly elastic, pressure‐distendable bladder that functions as a reservoir and pressurises the drug solution within. A spring is used in the Springfusor to apply force to the piston of a syringe, and in the Paragon and SideKick to pressurise an infusion bag. These devices offer a portable, self‐powered, cost‐effective alternative to electronic pumps for many applications. The major limitations are their dose inflexibility and accuracy. Users should be aware of the operating conditions that affect flow rate, and since flow rate is described by Poiseuille's law, these include temperature, drug concentration, hydrostatic pressure and the addition of narrow lumen catheters. Aust J Hosp Pharm 1997; 27: 115–24.

show abstract

Laboratory Evaluation of the Go Medical PCI: A Disposable Patient-Controlled Analgesia Device

Cited by 12 publications

References 5 publications

The flow Rate Accuracy of Elastomeric Infusion Pumps After Repeated Filling

The flow Rate Accuracy of Elastomeric Infusion Pumps After Repeated Filling

Patient‐Controlled Epidural Analgesia After Caesarean Section Using a Disposable Deviee

A Review of the Restrictive Flow Infusion Devices Available for Parenteral Drug Therapy

Contact Info

Product

Resources

About