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Related Experiment Videos

Air emboli with Haemaccel(R)

A J Gray1, P Glover

  • 1Department of Anaesthesia, Hutt Hospital, High St., Lower Hutt, New Zealand.

Anaesthesia
|August 25, 1999
PubMed
Summary
This summary is machine-generated.

Two patients experienced venous air embolism during Haemaccel infusion. A study revealed up to 45 ml of air can enter patients from pressurized Haemaccel bottles, influenced by pressure bags and warming.

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Area of Science:

  • Medical Devices
  • Patient Safety
  • Anesthesiology

Background:

  • Venous air embolism is a rare but serious complication during intravenous fluid administration.
  • Haemaccel (polygeline) is a plasma expander commonly used in clinical settings.
  • Pressure bags are frequently employed to accelerate fluid infusion rates.

Observation:

  • Two cases of venous air embolism were identified during Haemaccel infusion using pressure bags.
  • A subsequent study investigated the potential for air entrainment from pressurized Haemaccel containers.

Findings:

  • Up to 45 ml of air can be infused into a patient from a pressurized Haemaccel plastic bottle with a standard administration set.
  • The volume of infused air is significantly influenced by the type and size of the pressure bag used.

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  • Warming the Haemaccel plastic container also affects the volume of air infused.
  • Implications:

    • This study highlights a critical risk associated with Haemaccel infusion under pressure.
    • Healthcare providers should be aware of the potential for air embolism and implement preventative measures.
    • Recommendations for safe administration protocols, including careful selection and use of pressure bags and temperature control, are warranted.