University of Tasmania
Browse

File(s) not publicly available

Intravenous administration sets are accurate and in appropriate condition after 7-days of continuous use: an in-vitro study

journal contribution
posted on 2023-05-16, 18:05 authored by Rickard, CM, Wallis, SC, Courtney, M, Lipman, J, Daley, PJP
Background. The ideal duration of intravascular administration set use is unknown. Studies have compared the infective implications of 1-7 days of use. The Centers for Disease Control recommend at least 3 days usage. No previous study has evaluated the accuracy of volume delivery or integrity of administration sets after prolonged use. Aim. To evaluate the accuracy and condition of intravascular administration sets used continuously for 7 days. Design. Prospective, randomized, experimental study in the laboratory setting. Methods. Four administration sets were randomly assigned to deliver 2 mL/hour (IMED® syringe set 2280-0000), 20, 50 or 100 mL/hour (IMED® infusion sets 2210-0500) of crystalloid solution continuously for 7 days through an IMED® Gemini® four channel infusion pump (PC4). At study commencement and daily for 7 days, a 4-hour volume measurement and an inspection for leaks/erosion of administration sets occurred for each administration set (total measurements = 32). Results. Mean volume outputs over 4 hours were 7.84 mL (2 mL/hour), 80.66 mL (20 mL/hour), 205.35 (50 mL/hour) and 406.37 (100 mL/hour). These differed significantly from the programmed volumes (P = 0.00-0.01). Usage duration did not influence performance (F = 0.866, P = 0.55). Accuracy of volume delivery differed significantly with pump speed (F= 106.933, P < 0.001) exhibiting increased volume to 50 mL/hour then a reduction at 100 mL/hour. Differences were within manufacturer specifications (± 5%) and were clinically acceptable. All administration sets remained in appropriate condition displaying no leakage or erosion. Conclusion. There were small inaccuracies found between programmed and delivered volumes, however, there was no deterioration in performance over time. This suggests that inaccuracies were because of normal pump performance rather than the administration sets. Administration sets retain acceptable accuracy and condition after 7 days continuous use. Further research should assess the infective and other impacts of prolonged usage.

History

Publication title

Journal of Advanced Nursing

Volume

37

Issue

4

Pagination

330-337

ISSN

0309-2402

Department/School

School of Nursing

Publisher

Blackwell

Place of publication

England

Repository Status

  • Restricted

Socio-economic Objectives

Nursing

Usage metrics

    University Of Tasmania

    Categories

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC