http://www.kevinmd.com/blog/2007/03/iv-fluid-rates-in-er-its-either-wide.html Tue, 14 Feb 2012 23:00:00 +0000 hourly 1 http://www.kevinmd.com/blog/2007/03/iv-fluid-rates-in-er-its-either-wide.html#comment-73118 Gasman Thu, 22 Mar 2007 19:13:00 +0000 http://clients.emmense.com/kevinmd/2007/03/iv-fluid-rates-in-the-er-its-either-wide-open-or-none.html#comment-73118 One cannot give a bolus with an infusion pump. All the brands I've seen max out at 999 ml/hour. This rate falls short of a bolus and is way short of rates required in resuscitative situations. The alternative, having 6 to 10 pumps arrayed in a massively parallel system merely increases the likelihood of air embolus, wrong fluid bag, and line spagetti by 6 to 10 fold. IV poles have maximum weights to prevent tippiness so this would likely require 3 to 5 poles. Just try pushing the bed down the hall on the way to CT with all this crap. <br/>Lets try it for the first time with the administrator's kid just extracted from a car wreck. One cannot give a bolus with an infusion pump. All the brands I’ve seen max out at 999 ml/hour. This rate falls short of a bolus and is way short of rates required in resuscitative situations. The alternative, having 6 to 10 pumps arrayed in a massively parallel system merely increases the likelihood of air embolus, wrong fluid bag, and line spagetti by 6 to 10 fold. IV poles have maximum weights to prevent tippiness so this would likely require 3 to 5 poles. Just try pushing the bed down the hall on the way to CT with all this crap.
Lets try it for the first time with the administrator’s kid just extracted from a car wreck.

]]>