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Fluid delivery from infusion-pump syringes

J L Carl1, B L Erstad, J E Murphy

  • 1Stanford Health Services, Palo Alto, CA, USA.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|July 1, 1995
PubMed
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Infusion pump syringes showed significant variations in fluid delivery rates and bolus volumes, impacting accuracy. Syringe accuracy varied over time and with initial fluid volumes, affecting medication delivery precision.

Area of Science:

  • Medical Devices
  • Pharmacology
  • Biomedical Engineering

Background:

  • Accurate fluid delivery is critical for patient safety and therapeutic efficacy.
  • Small-volume infusion pumps are widely used for precise medication administration.
  • Variability in syringe performance can compromise drug delivery accuracy.

Purpose of the Study:

  • To compare the fluid delivery accuracy of five different small-volume infusion pump syringes.
  • To evaluate syringe performance under various continuous and bolus delivery settings.
  • To identify potential sources of error in infusion pump syringe performance.

Main Methods:

  • Five 30-mL syringes from different manufacturers were tested in two infusion pumps (Lifecare PCA Plus II and Stratofuse PCA).

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  • Syringes were evaluated at continuous delivery rates of 1 mL/hr and 3 mL/hr, and for 1-mL bolus deliveries after removing 0, 5, 15, and 25 mL.
  • Delivered fluid volumes were measured by weight and calculated using specific gravity.
  • Main Results:

    • Significant differences in fluid delivery volumes were observed among syringes during the first hour at both 1 mL/hr and 3 mL/hr rates.
    • Delivery accuracy varied over time for most syringes tested.
    • Bolus volume accuracy was inconsistent, particularly after infusing 0 or 5 mL, but improved with larger volumes.

    Conclusions:

    • The performance of small-volume infusion pump syringes is not uniform, leading to potential inaccuracies in medication delivery.
    • Syringe selection and usage protocols should consider the observed variability in delivery rates and bolus volumes.
    • Further research is needed to optimize syringe design and infusion pump algorithms for enhanced accuracy.