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Hypodermoclysis or subcutaneous infusion revisited.
Singapore Medical Journal
|March 6, 2002
Summary
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.