I've had good experiences with the Belmont rapid infuser in pediatrics. To address your questions
1) It can warm fluids (only when plugged into wall)
2) It can be done but often not necessary, and a bit complex
3) Cannot be done, have to round to nearest provided volume (e.g. 460ml bolus, round to 500ml)
4) It displays volume administered
5) I don't believe fluids or blood can be push/pulled from it manually (but uncertain why that would be necessary)
6) It does have a medication port, however I would not recommend it, particularly in pediatrics. The small volumes for peds doses likely have unpredictable delivery within the large-bore tubing set.
7) 30 minutes battery power
8) Relatively easy to prime and program boluses. Has a heater that burns air so does not require repriming once fluids/blood run dry.
9) It has been implemented in ICUs and ORs as well in some organizations
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Mark Bleazard, MSN, APRN, ACCNS-P, CPEN, TCRN
Clinical Nurse Specialist
Emergency Department
Children's Hospital of Philadelphia
Philadelphia, PA
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Original Message:
Sent: 07-02-2024 01:16 PM
From: Lisa Smotrich
Subject: Looking for the "Holy Grail" of Rapid Infusers for Pediatric Patients
Hello fellow pediatric ED people! We are a Pediatric Trauma Center and we currently use the Level 1 Rapid Infuser, but for a variety of reasons we are hoping to replace them. If i could design my perfect pediatric Rapid Infuser it would be able to:
- Warm fluids
- Deliver fluids at a specific rate (set by the operator, not just pre-set machine defaults)
- Deliver a specific fluid bolus amount (set by the operator, not just pre-set machine defaults)
- Show how much fluid has been administered in total
- Push/pull fluids manually (if necessary) without disconnecting tubing
- Administer medications without disconnecting tubing
- Work on battery power (can be used during transport)
- Be easy to assemble / ease of use
- Work well for various departments throughout the hospital (ED, OR, and ICU)
We have had demos of a few products and none are perfect so far, but I would love to hear from the people who use them rather than just from the product rep. What Rapid Infuser do you use for your pediatric patients? What do you like about it? What do you not like about it?
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Lisa Smotrich BSN, RN, CPEN, NPD-BC, CCRN
RN Professional Development Specialist
Johns Hopkins All Children's Hospital Emergency Center
St. Petersburg, Florida
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