Pump-driven clinical infusions: laboratory comparison of pump types, fluid composition and flow rates on model drug delivery applying a new quantitative tool, the pharmacokinetic coefficient of short-term variation (PK-CV).

Critically ill or anesthetized patients commonly receive pump-driven intravenous infusions of potent, fast-acting, short half-life medications for managing hemodynamics. Stepwise dosing, e.g.

Performance of a Continuous Subcutaneous Insulin Infusion (CSII) Pump With Acoustic Volume and Flow Sensing in Simulated High-Consequence Situations.

An insulin pump's failure to deliver insulin in the right amount at the right time is a preventable cause of hospitalization. We evaluated key performance metrics of a novel insulin pump that prevents "silent insulin non-delivery" caused by blockage, delivery of air and site leakage. This is accomplished via an acoustic sensor that measures the volume of insulin delivered with each pulse in real-time.

Intravenous Smart Pumps at the Point of Care: A Descriptive, Observational Study.

Objective: This study was conducted to advance understanding of intravenous (IV) smart pump medication administration practices using the Baxter Spectrum IQ. The primary objective was to observe adherence with manufacturer required IV smart pump system setup at the point of care during actual clinical use.

Methods: The study was conducted in a 285-bed acute care community hospital near Boston, Massachusetts.

Reprint from AJN: Secondary Medication Administration and IV Smart Pump Setup: What every nurse needs to know.

Secondary infusion by large-volume iv smart pump is used extensively in the acute care setting for one-time or intermittent administration of medications such as antibiotics, electrolyte replacements, and some oncology drugs. Consistent and accurate delivery of secondary medications requires a full understanding of the system and setup requirements. Unfortunately, it is not uncommon for nurses to find a secondary medication only partially administered when their programming should have resulted in a complete infusion.

Secondary Medication Administration and IV Smart Pump Setup.

Secondary infusion by large-volume IV smart pump is used extensively in the acute care setting for one-time or intermittent administration of medications such as antibiotics, electrolyte replacements, and some oncology drugs. Consistent and accurate delivery of secondary medications requires a full understanding of the system and setup requirements. Unfortunately, it is not uncommon for nurses to find a secondary medication only partially administered when their programming should have resulted in a complete infusion.

Evaluation of Clinical Infusion Pump Performance Through Downstream Microdrop Monitoring: A Preliminary Study.

As low-flow infusion is becoming more prevalent for clinical care, there is an increasing need for better evaluation of clinical infusion pump performance at low flow rates and in ways that are accessible to the clinical community. However, the current method in international standard require specialized facilities, costly equipment, long durations of testing, and the data produced is hard to interpret. We propose downstream microdrop monitoring (DMM) as a low-cost, easy-to-perform, and easy-to-interpret alternative.