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Discussion

Continuous Subq Infusion help

We have a new Hospice/Pallative care physician in the area. She is ordering subq infusions for some of her pain meds. Does anyone have any suggestions/recommendations for brand of subcutaneous needle/set to use?

Ron in Illinois

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I think the clysis method work best when used with a regualr iv catheter- just remove the needle and leave the cathalon in.

  • Author

That is what we have done so far but we aer looking for something htat might be better.

Ron in Illinois

we used the small subcue needles (appx. 31 gauge) that were set in a small disk -- cannot remember the name to save my life but the disk was flat as paper - like a large button and the needle protruded out of the center of it like this ___l___ it was a super easy stick- just place in subcue around back/hip area- then just place a tegaderm over disk and tubing to keep in place. Tubing went straight from diskette/ needle to whatever bag you are using. Hopefully I will remember name of darned thing before it keeps me awake tonight....:rolleyes:

We use Baxter SubQ infusion sets. They are essentially a 27 ga needle that enters the skin at a 90 degree angle. The needle is imbedded within a clear plastic disc that adheres to the skin. Baxter has two different SubQ infusion sets - the only difference between the two is the length of tubing attached to the needle - one is 24" long and the other is 42" long. We insert these all the time for both intermittant SubQ injections and continuous infusions via CADD Prism pumps. Once they are inserted, we cover them with a clear dressing like a Tegaderm or Opsite Flexigrid. Perhaps this link will be helpful to you:

http://www.ecomm.baxter.com/ecatalog/browseCatalog.do?lid=10001&hid=10001&cid=10016&key=195f26361e10136d880df5fa9958a79&pid=460122

Hope this helps!

Mark

we use syringe drivers or through clysis.

but actually, the majority of my pts have central lines, piccs or portacath's.

they're usually transferred from the hospital to our facility, s/p treatment.

leslie

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