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Published on: November 9, 2016
International Consensus Recommendation Guidelines for Subcutaneous Infusions of Hydration and Medication in Adults:
Daphne Broadhurst1, Marie Cooke, Deepa Sriram
1Alliance for Vascular Access Teaching and Research (AVATAR) Group, Menzies Health Institute Queensland, Gold Coast, Queensland, Australia (Mss Broadhurst, Cooke, and Sriram); Infusion Excellence Consulting, Ottawa, Ontario, Canada (Ms Broadhurst); School of Nursing and Midwifery, Nathan Campus, Griffith University, Nathan, Queensland, Australia (Ms Cooke); Needle Calm Pty, Melbourne, Victoria, Australia (Ms Barber); Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy (Mr Caccialanza); Department of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark [ORCID https://orcid.org/0000-0001-7431-5257 ] (Mr Danielsen); Optum Complex Care Management, Horsham, Pennsylvania (Ms Ebersold); Ascension at Home, Indianapolis, Indiana (Ms Gorski); The Johns Hopkins Home Care Group, Baltimore, Maryland (Mr Hirsch); Centre for Nurse Education, Cork University Hospital, Cork, Ireland (Ms Lynch); FAMS Institution: Division of Supportive and Palliative Care, National Cancer Centre, Singapore (Ms Neo); Roubaud CHU de Bordeaux, Pôle de Gérontologie Clinique, Bordeaux, France (Ms Roubaud-Baudron); Clinical Pharmacy Partners, Tampa, Florida (Ms Gray).
Subcutaneous infusions offer a safe alternative to intravenous therapy for preserving vessel health. This study established 42 international consensus recommendations for optimizing subcutaneous infusion practices across all care settings.
Area of Science:
- Nursing
- Pharmacology
- Patient Care
Background:
- Intravenous infusions are standard but can lead to venous depletion.
- Preserving vessel health necessitates exploring alternative infusion routes.
- Subcutaneous infusion presents a safe, effective, and efficient option.
Purpose of the Study:
- To achieve international consensus on practice recommendations for subcutaneous infusions.
- To address the slow adoption of subcutaneous infusion practices.
- To develop a guideline for safe subcutaneous fluid and medication delivery.
Main Methods:
- A modified electronic Delphi (e-Delphi) study was conducted.
- An international panel of 11 clinicians with expertise in subcutaneous infusions participated.
- Recommendations were rated and edited based on evidence, guidelines, and clinical expertise within the ABC Model framework.
Main Results:
- The study derived 42 practice recommendations for subcutaneous infusions.
- The recommendations cover the Assessment, Best Practice, and Competency (ABC) domains.
- A comprehensive guideline for the adult population in all care settings was established.
Conclusions:
- The developed ABC Model for Subcutaneous Infusion Therapy provides a systematic guideline.
- These consensus recommendations aim to optimize the use of the subcutaneous access route.
- The guideline supports healthcare providers, organizations, and policymakers in implementing subcutaneous infusions.
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