A comparative analysis of intravenous infusion methods for low-resource environments

被引:1
作者
Tomobi, Oluwakemi [1 ,2 ]
Avoian, Samantha [3 ]
Ekwere, Ifeoma [4 ]
Waghmare, Shivani [5 ]
Diaban, Fatima [6 ]
Davis, Gabrielle [5 ]
Sy, Yacine [7 ]
Ogbonna, Oluchi [8 ]
Streete, Kevin [4 ]
Aryee, Ebenezer [7 ]
Kulasingham, Vasanthini [4 ]
Sampson, John B. [4 ]
机构
[1] West Virginia Univ, Dept Anesthesiol, Morgantown, WV USA
[2] Howard Community Coll, Div Hlth Sci & Technol, Columbia, MD USA
[3] Univ Texas Southwestern, Dallas, TX USA
[4] Johns Hopkins Sch Med, Dept Anesthesiol & Crit Care Med, Baltimore, MD 21205 USA
[5] Howard Univ, Coll Med, Washington, DC USA
[6] Advocate Aurora Hlth, Downers Grove, IL USA
[7] Johns Hopkins Univ, Sch Med, Baltimore, MD USA
[8] Univ Maryland, Sch Med, Baltimore, MD USA
基金
美国国家卫生研究院;
关键词
cost-effectiveness analysis; global health disparities; critically ill; low-resource setting; intravenous infusion therapy; sedation; INTENSIVE-CARE; COST-EFFECTIVENESS; PUMP;
D O I
10.3389/fmed.2024.1326144
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction Intravenous (IV) therapy is a crucial aspect of care for the critically ill patient. Barriers to IV infusion pumps in low-resource settings include high costs, lack of access to electricity, and insufficient technical support. Inaccuracy of traditional drop-counting practices places patients at risk. By conducting a comparative assessment of IV infusion methods, we analyzed the efficacy of different devices and identified one that most effectively bridges the gap between accuracy, cost, and electricity reliance in low-resource environments.Methods In this prospective mixed methods study, nurses, residents, and medical students used drop counting, a manual flow regulator, an infusion pump, a DripAssist, and a DripAssist with manual flow regulator to collect normal saline at goal rates of 240, 120, and 60 mL/h. Participants' station setup time was recorded, and the amount of fluid collected in 10 min was recorded (in milliliters). Participants then filled out a post-trial survey to rate each method (on a scale of 1 to 5) in terms of understandability, time consumption, and operability. Cost-effectiveness for use in low-resource settings was also evaluated.Results The manual flow regulator had the fastest setup time, was the most cost effective, and was rated as the least time consuming to use and the easiest to understand and operate. In contrast, the combination of the DripAssist and manual flow regulator was the most time consuming to use and the hardest to understand and operate.Conclusion The manual flow regulator alone was the least time consuming and easiest to operate. The DripAssist/Manual flow regulator combination increases accuracy, but this combination was the most difficult to operate. In addition, the manual flow regulator was the most cost-effective. Healthcare providers can adapt these devices to their practice environments and improve the safety of rate-sensitive IV medications without significant strain on electricity, time, or personnel resources.
引用
收藏
页数:11
相关论文
共 28 条
  • [1] Angus DC, 2002, AM J RESP CRIT CARE, V165, P540
  • [2] [Anonymous], 2022, Schedule of charges
  • [3] Flow rate accuracy of infusion devices within healthcare settings: a systematic review
    Atanda, Opeyemi
    West, Jonathan
    Stables, Tom
    Johnson, Chris
    Merrifield, Robert
    Kinross, James
    [J]. THERAPEUTIC ADVANCES IN DRUG SAFETY, 2023, 14
  • [4] Barghouth A, 2021, Beyond access: What does electricity mean for healthcare facilities in Senegal?
  • [5] Buonora Maj John E, 2019, AANA J, V87, P65
  • [6] BuyMedical.Com, Wholesale medical supplies
  • [7] Carayon P., 2005, ADV PATIENT SAFETY R
  • [8] Casahous Clinique, Hopital Principal, Hopital Aristide Le Dantec
  • [9] Fluid overload in the ICU: evaluation and management
    Claure-Del Granado, Rolando
    Mehta, Ravindra L.
    [J]. BMC Nephrology, 2016, 17
  • [10] IV DripAssist: An Innovative Way to Monitor Intravenous Infusions Away From an Outlet?
    Couperus, Kyle
    Kmiecik, Karl
    Kang, Christopher
    [J]. MILITARY MEDICINE, 2019, 184 (3-4) : 322 - 325