Maji: a new tool to prevent overhydration of children receiving intravenous fluid therapy in low-resource settings

The American Journal of Tropical Medicine and Hygiene
Kamal ShahRebecca R Richards-Kortum

Abstract

We designed and evaluated the accuracy and usability of a device to regulate the volume of fluid dispensed during intravenous drip therapy. The mechanical system was developed in response to a pressing need articulated by clinicians in pediatric wards throughout sub-Saharan Africa, who require a tool to prevent overhydration in children receiving intravenous fluid in settings that lack burettes or electronic infusion pumps. The device is compatible with most intravenous bags and limits the volume dispensed to a preset amount that can be adjusted in 50 mL increments. Laboratory accuracy over a range of clinically-relevant flow rates, initial bag volumes, and target volumes was within 12.0 mL of the target volume. The ease of use is "excellent," with a mean system usability score of 84.4 out of 100. Use of the device limits the volume of fluid dispensed during intravenous therapy and could potentially reduce the morbidity and mortality associated with overhydration in children receiving intravenous therapy.

References

Nov 1, 1983·Canadian Anaesthetists' Society Journal·M G PalazzoL Strunin
Nov 26, 2010·American Journal of Infection Control·Gina PuglieseScott Robinson
Jan 22, 2013·Malaria Journal·Leandro LemgruberFriedrich Frischknecht
Mar 19, 2013·BMC Medicine·Kathryn MaitlandUNKNOWN FEAST trial group
Aug 15, 2013·BMC Palliative Care·Kamal G ShahRebecca R Richards-Kortum

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Citations

Jul 2, 2021·Medical Devices : Evidence and Research·Elizabeth Abu-HaydarMichael Ruffo

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