Abstract
Rapid fluid administration is often required for resuscitation when patients are admitted in emergency department with hypovolemic shock or excessive blood loss. Various methods have been described earlier to increase the fluid administration speed. Larger vein size, larger bore cannula, height of fluid, pressure over fluid bottle etc. are some of methods described in such situations.We here describe a novel method to administer intravenous fluid rapidly and this method can be utilized in emergency and trauma settings.
Highlights
In prehospital trauma and emergency settings, the immediate establishment of venous access and rapid fluid administration may be difficult in resuscitation of patients in hypovolemic shock due to massive blood loss
We present a novel device which can be successfully used in prehospital trauma and emergency settings
Amongst them various pressurization techniques like gravity-fed infusion, manual compression of fluid chamber, and compression of fluid chamber using flexible (Infusable Disposable Pressure Infuser, Vital Sign Inc., Tatowa, NJ, USA) and rigid pressure bags (Norfolk and Norwich medical equipment, Norwich, UK), were popularly used. The efficacies of these techniques to increase the flow rates were evaluated. They found that manual push-pull technique was better than gravity fed infusion system [1,2].Pressure bags tend to increase the flow rates significantly and were found to be an effective method for rapid fluid infusions [3,4].Various other methods were used like multiple fluid infusions, reducing the length of IV
Summary
Background In prehospital trauma and emergency settings, the immediate establishment of venous access and rapid fluid administration may be difficult in resuscitation of patients in hypovolemic shock due to massive blood loss. Rapid infusion systems (RIS) have been successfully used for delivering large amount of intravenous fluids at standard and rapid flow rates. We present a novel device which can be successfully used in prehospital trauma and emergency settings.
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