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International Consensus Recommendation Guidelines for Subcutaneous Infusions of Hydration and Medication in Adults: An e-Delphi Consensus Study.

J Infus Nurs

July 2023

Alliance for Vascular Access Teaching and Research (AVATAR) Group, Menzies Health Institute Queensland, Gold Coast, Queensland, Australia (Mss Broadhurst, Cooke, and Sriram); Infusion Excellence Consulting, Ottawa, Ontario, Canada (Ms Broadhurst); School of Nursing and Midwifery, Nathan Campus, Griffith University, Nathan, Queensland, Australia (Ms Cooke); Needle Calm Pty, Melbourne, Victoria, Australia (Ms Barber); Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy (Mr Caccialanza); Department of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark [ORCID https://orcid.org/0000-0001-7431-5257 ] (Mr Danielsen); Optum Complex Care Management, Horsham, Pennsylvania (Ms Ebersold); Ascension at Home, Indianapolis, Indiana (Ms Gorski); The Johns Hopkins Home Care Group, Baltimore, Maryland (Mr Hirsch); Centre for Nurse Education, Cork University Hospital, Cork, Ireland (Ms Lynch); FAMS Institution: Division of Supportive and Palliative Care, National Cancer Centre, Singapore (Ms Neo); Roubaud CHU de Bordeaux, Pôle de Gérontologie Clinique, Bordeaux, France (Ms Roubaud-Baudron); Clinical Pharmacy Partners, Tampa, Florida (Ms Gray).

Infusion of fluids and medications is traditionally performed intravenously. However, venous depletion in patients has led to the quest for vessel health preservation. A safe, effective, acceptable, and efficient alternative is the subcutaneous route.

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