JACK
3rd June 2008, 19:27
Dear NICU colleagues, I want to know whether the use of in line filters during administration of TPN fluids is standard practice in all NICUs?
I also want to know what brand of Filter do you all use ?
I would also like to find out how your experience has been with the filters that you use ? (pros and cons)
Furthermore i am keen to find out whther you 'piggyback' the intralipid to the Dex/AA solution ( that is connect the intralipid to the same line as Dex/AA solution) or give the intralipid seperately?
As for our centre, we do use in line filters during administration of all TPN fluids.
The only filter that is available to us from the hospital management is BAXA syringe filter 0.22 microns ( Order no. H938 21002 3 from BAXA). You can find out what I am speaking about here
http://www.baxa.com/PharmacyProducts/IVAdmixture/ProductDetail/?id=05D0F880-B7BE-3350-F859947305B0F420
Our experience has generally been good with occasional filter induced resistance in the system (IV administration system). On few occasions we had hypoglycemia in preterms because the TPN fluid was 'stuck' behind the filter and the IV pump kept on 'pumping' without detecting this block , ultimately resulting in the baby not getting any fluids for 2-3 hours. After these accidents we are more vigilant, at the slightest hint that the resistance in the IV circuit is increasing ( as indicated by the IV Pump), we physically detach all connections and check whether the filter is ok or not.
We generally prefer to separate our Dex/AA lines and intralipid in our unit. We are apprehensive about precipitation if intralipid and Dex/AA lines are mixed.
Am Eager to find out current practices in your NICU.
I also want to know what brand of Filter do you all use ?
I would also like to find out how your experience has been with the filters that you use ? (pros and cons)
Furthermore i am keen to find out whther you 'piggyback' the intralipid to the Dex/AA solution ( that is connect the intralipid to the same line as Dex/AA solution) or give the intralipid seperately?
As for our centre, we do use in line filters during administration of all TPN fluids.
The only filter that is available to us from the hospital management is BAXA syringe filter 0.22 microns ( Order no. H938 21002 3 from BAXA). You can find out what I am speaking about here
http://www.baxa.com/PharmacyProducts/IVAdmixture/ProductDetail/?id=05D0F880-B7BE-3350-F859947305B0F420
Our experience has generally been good with occasional filter induced resistance in the system (IV administration system). On few occasions we had hypoglycemia in preterms because the TPN fluid was 'stuck' behind the filter and the IV pump kept on 'pumping' without detecting this block , ultimately resulting in the baby not getting any fluids for 2-3 hours. After these accidents we are more vigilant, at the slightest hint that the resistance in the IV circuit is increasing ( as indicated by the IV Pump), we physically detach all connections and check whether the filter is ok or not.
We generally prefer to separate our Dex/AA lines and intralipid in our unit. We are apprehensive about precipitation if intralipid and Dex/AA lines are mixed.
Am Eager to find out current practices in your NICU.