A small observational study of the longevity of syringe driver sites in palliative care

International Journal of Palliative Nursing
Sue Morgan, Nici Evans

Abstract

Although the use of portable syringe drivers is common in palliative care, problems do occur. A small observational study of local practice was undertaken to establish the rate of syringe driver reactions and duration of sites; to determine whether a predictable relationship existed between the number of days on a syringe driver and the number of sites used consecutively; and to discover whether the location of a syringe driver site influenced the site longevity. Eighty-six syringe driver sites were established in 27 patients during the 3-month study period. Site duration ranged between 1 hour and 9 days (mean 2 days). An association was found between the number of days on a syringe driver and the number of sites used. However, this relationship is not close enough to predict when a site may be discontinued. Thirty-eight syringe drivers (44%) were discontinued because of site reactions. The location of a syringe driver site appeared to be an important factor influencing the site longevity, with cannula dislodgment three times more prevalent from the chest wall than the upper arm (P=0.05). However, the findings suggest that if it is possible to prevent dislodgement from the chest wall, then this site can be used for significantl...Continue Reading

References

Mar 1, 1989·Journal of Pain and Symptom Management·F AdamsE Zamora
Mar 1, 1968·Journal of Pharmaceutical Sciences·B E Ballard
Jun 9, 1998·Palliative Medicine·R Twycross
Aug 31, 2002·International Journal of Clinical Oncology·Robert G Twycross
Sep 25, 2002·International Journal of Palliative Nursing·T Mitten

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Citations

Jan 19, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Massimo DestroSilvia Boschetti
Oct 28, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Tanja Fusi-SchmidhauserClaudia Gamondi
Jan 14, 2012·International Journal of Palliative Nursing·Sue Griffith
Apr 11, 2006·International Journal of Palliative Nursing·Victoria J KainHelene Wheatley
Mar 8, 2011·International Journal of Palliative Nursing·Alison FreemantleVincent Crosby
Mar 31, 2005·International Journal of Palliative Nursing·Anne HayesMichael Ashby
Apr 17, 2008·International Journal of Palliative Nursing·John CostelloJenny Hull

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