Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods. Issue 1 (January 2019)

• Record Type: Journal Article
• Authors: Spangler, Hillary; Piehl, Mark; Lane, Andrew; Robertson, Galen
• Is Part Of: Journal of infusion nursing. Volume 42:Issue 1(2019)
• Publication Date: 2019-01
• Subjects: aseptic technique -- fluid resuscitation -- infection control -- LifeFlow -- patient safety -- push-pull technique -- quality improvement -- sepsis -- syringes; Infusion therapy -- Periodicals; Parenteral therapy -- Periodicals; Intubation -- Periodicals; Intravenous therapy -- Periodicals; Nursing -- Periodicals; 615.6
• DOI: 10.1097/NAN.0000000000000307
• Languages: English
• ISSNs: 1533-1458

Abstract

Abstract : Rapid fluid resuscitation is used to treat pediatric septic shock. However, achieving fluid delivery goals while maintaining aseptic technique can be challenging. Two methods of fluid resuscitation—the commonly used push-pull technique (PPT) and a new fluid infusion technique using the LifeFlow device (410 Medical, Inc; Durham, NC)—were compared in a simulated patient model. PPT was associated with multiple aseptic technique violations related to contamination of the syringe barrel. This study confirms the risk of PPT-associated syringe contamination and suggests that this risk could be mitigated with the use of a protected syringe system, such as LifeFlow.