Introduction: In the literature, the change of a syringe pump is described as a dangerous situation, especially in the case of vasoactive drug administration. Methods: Different variables have been studied (central venous pressure, pump displacement in relation to the patient position, utilization of a stopcock, or a neutral displacement needle-free connector between the syringe and the infusion tubing) to understand their influence on medication administration in terms of backflow or bolus creation when changing the syringe. Results: We performed 576 measurements with different combinations. With respect to all the observations, in comparison with “time zero,” we found the following differences expressed in microliters: 0 (±1) at the plunger opening; 0 (±3) at the syringe extraction from the pump; 0 (±7) at the syringe disconnection from the infusion tubing; 0 (±11) at the syringe reconnection to the infusion tubing; 1 (±7) at the syringe insertion in the pump; 3 (±23) at the plunger closing; 8 (±33) at the stabilization at the maneuver end. Conclusion: The syringe change can be a very critical moment given different influencing variables. Syringe pump position, displaced higher than the patient level, always generates a medication bolus that is higher at the lowering of the central venous pressure value. The presence of a neutral displacement needle-free connector reduces the incidence of boluses. When the pump is placed at the patient level, the presence of neutral displacement needle-free connector reduces the establishment of boluses, even in a central venous pressure of −5 mmHg simulations.
Elli, S., Mattiussi, E., Bambi, S., Tupputi, S., San Fratello, S., De Nunzio, A., et al. (2020). Changing the syringe pump: A challenging procedure in critically ill patients. JOURNAL OF VASCULAR ACCESS, 21(6), 868-874.
|Citazione:||Elli, S., Mattiussi, E., Bambi, S., Tupputi, S., San Fratello, S., De Nunzio, A., et al. (2020). Changing the syringe pump: A challenging procedure in critically ill patients. JOURNAL OF VASCULAR ACCESS, 21(6), 868-874.|
|Tipo:||Articolo in rivista - Articolo scientifico|
|Carattere della pubblicazione:||Scientifica|
|Presenza di un coautore afferente ad Istituzioni straniere:||No|
|Titolo:||Changing the syringe pump: A challenging procedure in critically ill patients|
|Autori:||Elli, S; Mattiussi, E; Bambi, S; Tupputi, S; San Fratello, S; De Nunzio, A; D'Auria, S; Rona, R; Fumagalli, R; Lucchini, A|
ELLI, STEFANO MARIA (Primo)
LUCCHINI, ALBERTO (Ultimo) (Corresponding)
|Data di pubblicazione:||2020|
|Rivista:||JOURNAL OF VASCULAR ACCESS|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1177/1129729820909024|
|Appare nelle tipologie:||01 - Articolo su rivista|