Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods

Rapid fluid resuscitation is used to treat pediatric septic shock. However, achieving fluid delivery goals while maintaining aseptic technique can be challenging. Two methods of fluid resuscitation—the commonly used push-pull technique (PPT) and a new fluid infusion technique using the LifeFlow devi...

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Detalles Bibliográficos
Autores principales: Spangler, Hillary, Piehl, Mark, Lane, Andrew, Robertson, Galen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc. 2019
Materias:
Features
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314506/
https://www.ncbi.nlm.nih.gov/pubmed/30589717
http://dx.doi.org/10.1097/NAN.0000000000000307
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author Spangler, Hillary
Piehl, Mark
Lane, Andrew
Robertson, Galen
author_facet Spangler, Hillary
Piehl, Mark
Lane, Andrew
Robertson, Galen
author_sort Spangler, Hillary
collection PubMed
description Rapid fluid resuscitation is used to treat pediatric septic shock. However, achieving fluid delivery goals while maintaining aseptic technique can be challenging. Two methods of fluid resuscitation—the commonly used push-pull technique (PPT) and a new fluid infusion technique using the LifeFlow device (410 Medical, Inc; Durham, NC)—were compared in a simulated patient model. PPT was associated with multiple aseptic technique violations related to contamination of the syringe barrel. This study confirms the risk of PPT-associated syringe contamination and suggests that this risk could be mitigated with the use of a protected syringe system, such as LifeFlow.
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spelling pubmed-63145062019-01-18 Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods Spangler, Hillary Piehl, Mark Lane, Andrew Robertson, Galen J Infus Nurs Features Rapid fluid resuscitation is used to treat pediatric septic shock. However, achieving fluid delivery goals while maintaining aseptic technique can be challenging. Two methods of fluid resuscitation—the commonly used push-pull technique (PPT) and a new fluid infusion technique using the LifeFlow device (410 Medical, Inc; Durham, NC)—were compared in a simulated patient model. PPT was associated with multiple aseptic technique violations related to contamination of the syringe barrel. This study confirms the risk of PPT-associated syringe contamination and suggests that this risk could be mitigated with the use of a protected syringe system, such as LifeFlow. Wolters Kluwer Health, Inc. 2019-01 2019-01-11 /pmc/articles/PMC6314506/ /pubmed/30589717 http://dx.doi.org/10.1097/NAN.0000000000000307 Text en © 2019 The Authors. Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Features
Spangler, Hillary
Piehl, Mark
Lane, Andrew
Robertson, Galen
Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods
title Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods
title_full Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods
title_fullStr Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods
title_full_unstemmed Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods
title_short Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods
title_sort improving aseptic technique during the treatment of pediatric septic shock: a comparison of 2 rapid fluid delivery methods
topic Features
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314506/
https://www.ncbi.nlm.nih.gov/pubmed/30589717
http://dx.doi.org/10.1097/NAN.0000000000000307
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