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Hypodermoclysis or subcutaneous infusion revisited
Insights
Hypodermoclysis, a method of subcutaneous fluid infusion, is a convenient hydration option in hospices. A standard protocol can minimize complications and increase its use.
Area of Science:
- Palliative Care
- Geriatrics
- Clinical Practice
Background:
- Hypodermoclysis is a method of administering fluids subcutaneously.
- Its use in hospice settings is evaluated for convenience and complications.
Purpose of the Study:
- To review the utilization of hypodermoclysis in a local hospice.
- To identify reasons for initiation and cessation, duration, complications, and fluid types.
Main Methods:
- A retrospective review of hypodermoclysis use over six months.
- Data collected included reasons for use/discontinuation, duration, complications, and infusates.
Main Results:
- 19% of patients received hypodermoclysis, accounting for 5.9% of patient-days.
- Vomiting and drowsiness were primary indications; patient demise was the most common reason for stopping.
- Complications included site redness (16%) and extravasation (15%), with no clinical sepsis.
Conclusions:
- Hypodermoclysis offers an easy and convenient hydration method in hospice care.
- A standardized protocol with clear guidelines can reduce complications and encourage wider adoption.
Aim Of Study:
To review the use of hypodermoclysis in a local Hospice.
Method:
A review of all hypodermoclysis carried out over a six-month period was conducted. Special attention was paid to the reason for starting and stopping the drip, duration of the drip, complications, the type and amount of solution infused.
Results:
Fifty-one (19%) out of 266 patients received hypodermoclysis during their stay. This constituted 5.9% of total patient-days in the study period. Vomiting and drowsiness were the main reasons for the use of drip. The commonest reason for stopping the drip was patient demise. Complications seen were drip site redness (16%), extravasation (15%) and bleeding (2.5%) There was no overt clinical sepsis in any of the patients.
Conclusion:
Hypodermoclysis is an easy and convenient means of providing hydration. The availability of a standard protocol with clearer guidelines on its use will help to reduce procedure-related complications and promote wider adoption of the practice.