Flush volumes delivered from pressurized bag pump flush systems in neonates and small children

Paediatric Anaesthesia
A CorneliusMarkus Weiss

Abstract

The aim of this study was to measure the volumes of fluid delivered with a fast flush bolus from a flow regulating device. In-vitro fast flush bolus volumes, the volumes delivered from a bag pump flush system while opening the flow regulating device for 1, 2 or 5 s, were gravimetrically measured through a 22-G and a 24-G cannula. In-vivo 1- and 2-s fast flush bolus volumes and the volume required to purge the tubing between stopcock and arterial cannula from visible blood after blood sampling were recorded in 12 anaesthetized neonates and infants (mean age 2.17 +/- 1.97 months, range 0.26-5.37 months) with a 24-G radial arterial cannula by continuously weighing the bag pump flush system at manometer pressures of 100, 200 and 300 mmHg. In-vitro fast flush bolus volumes ranged from 0.23 +/- 0.04 ml (1-s, 100 mmHg, 24-G cannula) to 2.95 +/- 0.38 ml (5-s, 300 mmHg, 22-G cannula). Volumes were larger using a 22-G cannula than a 24-G cannula (P < 0.01) and increased with longer flushing periods (P < 0.0001) and higher manometer pressures (P < 0.0001). In-vivo 1- and 2-s fast flush bolus volumes correlated well with driving pressures (infusion pressure minus mean arterial pressure) (r2 = 0.81/0.72). 1-s fast flush bolus volumes delive...Continue Reading

References

Dec 1, 1987·Critical Care Medicine·H SelldénB Ekström-Jodal
May 1, 1974·Anaesthesia·R D Latimer, K E Latimer
Dec 1, 1970·Journal of Applied Physiology·R M GardnerW D Gaisford
Jan 1, 1983·Intensive Care Medicine·S V Rithalia, J Tinker

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