soluset/buretrol tubing

Akron Children's Hospital, Nationwide Children's Hospital (Columbus), Rainbow Babies and Children. I doubt Cleveland Clinic Children's uses them either.

We're just rolling out our Smart Pumps later this month. (I'm taking a super-user training class tomorrow.) We use buretrols for everything except blood products, although we use a lot of syringe pumps - it's policy for anything vasoactive at all... I'm anxious to see how that will change with the Smart Pumps, since our syringe pumps are beginning to pack it in and the region has already bought a bunch of new (incompatible) syringe pumps but hasn't done any inservicing...

Seems that the smart pumps have taken the place of burettes around here. However, you must still set the smart pump to infuse how ever many hours of fluid your policy recommends. I guess the burettes are getting expensive.

I just had my Smart Pump superuser training on Thursday. We're still going to be using burettes, although our educator told me that the sets we bought have microbore tubing. I'm not sure I believe her, and I didn't have a chance to look at the posters with the product conversions so I can't be sure she's correct. I looked at the Alaris product catalogue and they do have a single set with both a burette and microbore tubing, but it has standard injuection prost and I know we're going with the Smart Site ports, so I think maybe she's confusing microbore with microdrip. Our current sets are 20 drops per mL and perhaps the new sets we're getting are the 60 drops per mL ones. Because we so often add potassium to our maintenance fluids or TPN in 100 mL aliquots because we often have to adjust the amount up or down depending on the patient's status, we'll have to have a burette of some sort.

We continue to use the buretrol tubing although this Large CVICU teaching facility is phasing them out. I have never used buretrols in a peds facility before come here. I didn't know they were still around. With the smart pumps, there is really know reason to have them. We run all of our inotropes/vasopressors on syringe pumps regardless of size. Also, our chase for those are on syringe pumps. I HATE Buretrols!!

Our children's hospital got rid of buretrols probably 15 years ago. I haven't noticed any difference in care.

Us too, though the ER used to put them on all peds/neonatal cases (even though they used pumps just like the units did). When they hit the admitting unit they were promptly thrown away.