Rapid delivery of intravenous fluids: Properties of an improvised piston pump

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#IVTEAM #Intravenous literature: Smart, C.M., Primrose, C.W., Peters, A.L. and Speirits, E.J. (2014) The properties of an improvised piston pump for the rapid delivery of intravenous fluids. Anaesthesia. January 3rd. [epub ahead of print].

Summary:

To maximise the effect of a small fluid load, it is occasionally desirable to bolus manually with multiple depressions of a large-capacity syringe. This is usually achieved by placing the syringe on the side port of a three-way tap. We modified this technique by placing two-one-way valves in line with the three-way tap, effectively creating a piston pump, the infusion rates via which we compared with those achieved by an inflatable pressure-infuser in a simulated resuscitation. Fluid flow was faster using the piston pump than with the pressure-infuser (mean (SD) time to infuse 2000 ml saline 0.9% via a 16-G cannula 352 (10) s vs 495 (19) s, respectively, p < 0.0001). The piston pump appears to have potential for both tight control of fluid delivery and major high-volume resuscitation. The lightweight nature of the pump and its lack of reliance on gravity may also make it suitable for the pre-hospital setting.

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