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Transitioning the Nutritional Support Patient to Homecare
Published in Michael M. Rothkopf, Jennifer C. Johnson, Optimizing Metabolic Status for the Hospitalized Patient, 2023
Michael M. Rothkopf, Jennifer C. Johnson
Like HPN, cycled HEN administration also requires an infusion pump. But HEN has the additional option of being used in a bolus feeding method. This is preferred by some patients for its simplicity and flexibility. It also conforms more to a natural eating pattern of meals and snacks. But its main advantage is the freedom from requiring an infusion pump.
Epidural and Intrathecal Analgesia
Published in Pamela E. Macintyre, Stephan A. Schug, Acute Pain Management, 2021
Pamela E. Macintyre, Stephan A. Schug
To reduce the risk of drugs or fluids intended for IV administration being inadvertently given via an epidural catheter with potentially catastrophic consequences, all pumps and lines utilized for epidural drug administration and all epidural catheters should carry a clearly visible label. Yellow is the recommended identification color for this route of administration in many countries (Beckers et al, 2012). Ideally, dedicated infusion pumps should also be used. These pumps should be rate limited (for example, to 20 mL/h) so infusion rates that are too high cannot be inadvertently programmed and delivered.
5-Fluorouracil (5FU) continuous infusion (single-agent)
Published in Maxwell Summerhayes, Susanna Daniels, Practical Chemotherapy, 2018
Maxwell Summerhayes, Susanna Daniels
Ask yourself ‘Will this patient really he able to cope with the demands of looking after an infusion pump?’. This is important. Home infusion therapy, particularly where an electromechanical infusion pump is used, requires patients or their immediate carers to take an active role in their treatment. If they are unwilling or unable to do so, other treatment options should be explored. Normally they should also have access to a telephone in case problems arise out of hours.
The clinical application progress and potential of drug-induced sleep endoscopy in obstructive sleep apnea
Published in Annals of Medicine, 2022
Alonço Viana, Débora Estevão, Chen Zhao
Recommended monitoring during DISE includes oxygen saturation (SaO2), electrocardiogram (ECG), and blood pressure (BP). A video-endoscopy system with a flexible nasoendoscope 4 mm in diameter or smaller can be used. Other suggested supplies and equipment include: (i) a standard infusion pump, preferably with target-controlled infusion (TCI). TCI is more effective and safer, allowing better adjustment of the infusion speed [16]; and (ii) a monitoring system for electroencephalogram (EEG)-derived indices - Bi-Spectral Index (BIS) or Cerebral State Index (CSI) [5]. BIS can assist in controlling the level of consciousness and the depth of sedation to mimic natural sleep, with recommended rates of 50–60 [17,18]. Cardiorespiratory polygraphy is suggested for identifying obstructive respiratory events due to hypopneas [19].
Total knee arthroplasty in hemophilia: lessons learned and projections of what’s next for hemophilic knee joint health
Published in Expert Review of Hematology, 2022
E. Carlos Rodriguez-Merchan, Hortensia De la Corte-Rodriguez, Teresa Alvarez-Roman, Primitivo Gomez-Cardero, Carlos A. Encinas-Ullan, Victor Jimenez-Yuste
Special mention should be made of the EHL FIX concentrates. Several studies performed with these concentrates have shown that they are capable of maintaining stable FIX activity with prolonged dosing intervals and reduced consumption compared with SHL concentrates [67]. In this sense, it is often sufficient to administer them at intervals of 48 hours or even longer to maintain the FIX levels recommended by the WFH in surgery. It is foreseeable that in the coming years the use of continuous infusion in patients with hemophilia B will be abandoned, given that FIX EHL concentrates administered as a bolus would provide the same benefits as we currently have when we administer SHL products in continuous infusion. In addition, we would avoid the complications involved, such as the failure of the infusion pump itself, the risk of thrombophlebitis, and the difficulty in performing correct early rehabilitation.
A review of alternative intravenous acetylcysteine regimens for acetaminophen overdose
Published in Expert Review of Clinical Pharmacology, 2021
Kevin Burnham, Tianrui Yang, Haleigh Smith, Steven Knight
Single-bag infusion regimens are those that require the production of a single concentration NAC admixture (3% NAC infusion solution). These regimens may naturally seem the most appealing; however, this approach has some limitations. These regimens utilize a single 30 mg/ml standard admixture of acetylcysteine that is administered in two phases. Several large institutions in the U.S. and Canada have documented their implementation of these regimens [32]. There are not many published articles describing a single-bag approach, but this method warrants discussion. Some institutions have adopted this approach and stand by its use [32,33]. Advantages of this approach, aside from the single concentration, are reduced preparation times and simple integration into smart infusion pumps. By maintaining the same loading dose rate as the three-bag standard regimen, most protocols using this standard one-bag do not aim to reduce ADRs stemming from elevated peak NAC concentrations. While a seemingly advantageous method of antidote administration, the benefits should be weighed against the limitations.