The effect of in-line infusion filtering on in-line pressure monitoring in an experimental infusion system for newborns

Neonatal Netw. 2014 May-Jun;33(3):133-7. doi: 10.1891/0730-0832.33.3.133.

Abstract

Aim: To study the effect of in-line filtering on in-line pressure measurement in a simulated infusion system.

Methods: The experimental setup consisted of a syringe pump, syringe, intravenous (IV) line, and extension line. For aqueous fluids, a 0.2-μm infusion filter was used, and for lipid emulsions, a 1.2-μm filter. Infusion speed varied from 0.5 to 10.0 mL/h. First, the effect of clamping the extension line was studied on reaching alarm threshold. Second, the effect of aqueous and lipid fluids was evaluated on in-line pressure measurements.

Results: In-line placement of an infusion filter did not prolong the time to alarm threshold after occlusion. During 24 hours of monitoring, lipid emulsions and all-in-one admixture only caused a moderate increase in in-line pressure.

Conclusion: Placement of an infusion filter does not have a significant effect on the in-line pressure monitoring and has no adverse effect on detecting pressure-related complications of IV administration.

Keywords: clinical alarms; infusions; intravenous; newborn.

MeSH terms

  • Clinical Alarms*
  • Equipment Design
  • Equipment Failure
  • Fat Emulsions, Intravenous*
  • Filtration / instrumentation*
  • Fluid Therapy / instrumentation*
  • Fluid Therapy / nursing*
  • Humans
  • Hydrostatic Pressure
  • Infant, Newborn
  • Infusion Pumps*
  • Intensive Care Units, Neonatal*
  • Parenteral Nutrition, Total / instrumentation*
  • Parenteral Nutrition, Total / nursing*
  • Transducers, Pressure*

Substances

  • Fat Emulsions, Intravenous