Rapid infusion systems: Difference between revisions

Latest revision as of 21:23, 17 July 2024

Overview

Rapid infusion of fluids and blood products can be a life-saving intervention in patients dealing with hypotension and hemorrhagic shock.

Indications

Contraindications

Rapid Infusion Methods

Infusion Pumps: Commonly used in acute care. Maximum flow rate of 1000 mL/h.
Gravity: Fluid flow is determined by multiple factors, including luminal flow, length of the tube and where it is positioned.
Pressure Bag: Applying a form of pressure to the bag can increase flow rate, but often not substantially.
"Push- pull technique": Manual syringe infusion typically used in pediatric patients using a syringe and three-way stopcock.
Traditional Rapid Infuser:
LifeFlow PLUS: A hand-operated rapid infuser.

Complications

External Links

References

Authors:

@@ Line 1: / Line 1: @@
-==Introduction==
+==Overview==
+*Rapid infusion of fluids and blood products can be a life-saving intervention in patients dealing with hypotension and hemorrhagic shock.
-In situations where a patient has gone into hypotension, rapid intravenous infusion of blood or fluid is often used in order to prevent the effects of hypotension.
+==Indications==
+*[[Sepsis]]
+*[[Trauma]]
+*[[Hypotension]]/[[shock]]
-==Rapid Infusion Methods==
+==Contraindications==
-● Infusion Pumps: Commonly used in acute care. Maximum flow rate of 1000 mL/h.
-● Gravity: Fluid flow is determined by multiple factors, including luminal flow, length of the tube and where it is positioned.
-● Pressure Infusion: Applying a form of pressure to the bag can increase flow rate, but often not substantially.
+==Rapid Infusion Methods==
+*Infusion Pumps: Commonly used in acute care. Maximum flow rate of 1000 mL/h.
-● "Push- pull technique": manual syringe infusion
+*Gravity: Fluid flow is determined by multiple factors, including luminal flow, length of the tube and where it is positioned.
+*Pressure Bag: Applying a form of pressure to the bag can increase flow rate, but often not substantially.
-● LifeFlow PLUS is a hand-operated rapid infuser that allows clinicians to rapidly deliver blood, blood components, crystalloids or colloid fluids to critically ill patients requiring volume resuscitation.
+*"Push- pull technique": Manual syringe infusion typically used in pediatric patients using a syringe and three-way stopcock.
+*Traditional Rapid Infuser:
+*LifeFlow PLUS: A hand-operated rapid infuser.
-==Rapid Infusers==
-● The fastest method for IV fluid delivery is mechanical rapid infusers. There are three different products currently commercially available, all of which limit infusion pressure to about 300 mmHg and then are able to slow/ stop pressure from rising past this point. Cost is the main downside of these devices in comparison to other methods of infusion.
-==Applications of Rapid Infusion==
-Some applications include: sepsis, trauma, hypotension/shock, EMS, military and pediatric.
-● Sepsis: Sepsis is a life-threatening condition that results from the body’s overwhelming response to infection and affects millions of patients. LifeFlow rapid transfusion delivers, on average, 500 mL of fluid in less than 2.5 minutes through a 20g IV catheter. This allows for fluid to be replaced in patients in critical condition. Rapid infusion reduces sepsis complications and can save lives and significantly reduce hospital expenses
-● Trauma: In patients with severe hemorrhage, every minute of resuscitation delay increases mortality.  This is particularly true for traumatic brain injury patients.  Standard methods of blood infusion are often too slow, particularly when vascular access is limited to smaller-gauge IV’s or IO. In-line warmers create additional resistance that may further slow infusion speed.
-● Hypotension/ Shock: Shock requires immediate diagnosis and treatment, as symptoms can worsen quickly and permanent injury or death can result. Treatment protocols call for early, rapid, and controlled administration of fluids.
+==Complications==
-● EMS: Emergency transfusions is starting to become available in some ground and air emergency transport,
-● Pediatric: In children with decompensated shock from conditions such as hypovolemia, sepsis, hemorrhage, and anaphylaxis, rapid restoration of intravascular volume is required to correct hypotension and reverse shock.  PALS guidelines specifically note that “early recognition and rapid intervention are critical to halting the progression from compensated shock to hypotensive shock to cardiopulmonary failure and cardiac arrest.”
 ==See Also==
-Link to Rapid Infuser page
+*[[Rapid infusion catheter]]
 ==External Links==
-https://410medical.com/
 ==References==
-Piehl, M., Park, C.W. When Minutes Matter: Rapid Infusion in Emergency Care. Curr Emerg Hosp Med Rep 9, 116–125 (2021). https://doi.org/10.1007/s40138-021-00237-6
+<references/>
+[[Category:Procedures]]