Graham Fiona, Clark David
International Observatory on End-of-Life Care, Institute for Health Research, Lancaster University, Lancaster, United Kingdom.
J Pain Symptom Manage. 2005 Jan;29(1):32-40. doi: 10.1016/j.jpainsymman.2004.08.006.
Since the early 1980s, the syringe driver has become a commonly used technology in British palliative care, used to administer continuous subcutaneous infusions (CSCI) for symptom management. Although the device itself has not been adopted universally, it has stimulated interest in the use of CSCI in palliative care and played a significant role in the modern history of this approach. This historical case study of the syringe driver examines the life and work of its inventor, explores its development for use in childhood thalassemia, and analyzes the circumstances surrounding its adoption in palliative care. We conclude by considering the reasons for the continued popularity of the syringe driver, despite problems in its use, and reflect on the lessons which can be learned about the use of CSCI in palliative care internationally.
自20世纪80年代初以来，注射器驱动泵已成为英国姑息治疗中常用的技术，用于进行持续皮下输注（CSCI）以管理症状。尽管该设备本身并未被普遍采用，但它激发了人们对在姑息治疗中使用CSCI的兴趣，并在这种方法的现代历史中发挥了重要作用。这项关于注射器驱动泵的历史案例研究考察了其发明者的生平与工作，探讨了其在儿童地中海贫血治疗中的发展，并分析了其在姑息治疗中被采用的相关情况。我们通过思考尽管注射器驱动泵在使用中存在问题却仍持续受欢迎的原因来得出结论，并反思在国际上姑息治疗中使用CSCI可吸取的经验教训。
