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Subcutaneous infusions in the elderly

R J Schen, M Singer-Edelstein

    Journal of the American Geriatrics Society
    |December 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Subcutaneous infusions are a safe and comfortable fluid supplement for elderly patients. This method causes fewer side effects than intravenous infusions and is well-tolerated by most patients.

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    Area of Science:

    • Geriatric Medicine
    • Fluid Management
    • Patient Care

    Background:

    • Elderly patients often require fluid supplementation.
    • Intravenous fluid administration can be uncomfortable and invasive for older adults.
    • Alternative, less invasive methods are needed for fluid delivery in geriatric care.

    Purpose of the Study:

    • To evaluate the safety and efficacy of subcutaneous infusions for fluid supplementation in elderly patients.
    • To compare subcutaneous infusion with traditional intravenous methods in terms of patient tolerance and side effects.
    • To determine the suitability of subcutaneous infusions for use in non-emergency geriatric settings.

    Main Methods:

    • 1,850 subcutaneous infusions administered to 270 elderly patients (average age 82).

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  • Infusions conducted in a hospital geriatric department and two nursing homes.
  • Monitoring for side effects and patient acceptance of the procedure.

    • Main Results:

    • Subcutaneous infusions were associated with few and non-serious side effects.
    • Minor edema in 4 patients resolved with diuretics; one case of disseminated intravascular coagulation showed ecchymoses.
    • No severe adverse events like sepsis, shock, or tissue necrosis were observed.
    • The method was well-accepted by patients, causing less discomfort than intravenous infusions.
    • Short infusion duration (2-4 hours) allowed patients to remain out of bed.

    Conclusions:

    • Subcutaneous infusion is a safe and effective method for fluid supplementation in elderly patients.
    • It offers advantages over intravenous administration, including improved patient comfort and tolerance.
    • This method is suitable for administration by trained nurses in institutional settings, even without resident medical staff, for non-emergency fluid management.