滤除事实：优化肠外营养和注射用脂肪乳输液在线过滤器性能的建议。
Filtering Out the Facts: Recommendations to Optimize Performance of In-Line Filters for Parenteral Nutrition and Injectable Lipid Emulsion Infusions.
机构信息
Becton, Dickinson, and Company, San Diego, California (Ms Gill and Ms Wilson); Fresenius Kabi, Lake Zurich, Illinois (Dr Hirsch).
Marianne Gill, MS, RN, is the vice president of medical affairs for Infusion Solutions at Becton, Dickinson, and Company (BD). Ms Gill received her master of science degree in management and health administration from New England College and her bachelor of science in nursing at Rutgers University. She has acute care experience in the cardiac care unit and in home infusion therapy. Ms Gill's current role with BD Medical Affairs-Infusion Solutions includes identification of opportunities to optimize safe, high-quality, outcome-driven clinical practices and products for the patients and clinical end users. She is also a certified facilitator in Crucial Conversations and Corporate Culture.
出版信息
J Infus Nurs. 2022;45(3):137-141. doi: 10.1097/NAN.0000000000000464.
The use of an in-line, 1.2-μm filter is recommended for the intravenous (IV) infusion of parenteral nutrition (PN), also known as 3-in-1, total nutrient admixture (TNA), or all-in-one, and injectable lipid emulsions (ILEs) infused alone through a separate IV line. While filtration of TNA was mandated in 1994 to improve patient safety, the recommendation for filtering lipid emulsions alone is relatively new and has not been adopted by all clinicians. In addition, literature references and postmarket surveillance data cite the occurrence of infusion pump occlusion alarms, which may be indicative of a clogged filter. The following review article provides an overview of filter recommendations for PN and ILE, describes the challenges of filtration with PN and ILE, and includes recommendations to minimize pump occlusion alarms that may occur from a clogged filter.
建议在静脉输注肠外营养（PN）时使用在线 1.2μm 过滤器，也称为 3 合 1、全营养混合液（TNA）或全合一，以及单独通过单独的静脉输液管输注的注射用脂肪乳剂（ILE）。虽然 1994 年规定过滤 TNA 以提高患者安全性，但单独过滤脂肪乳剂的建议相对较新，并非所有临床医生都采用。此外，文献参考和上市后监测数据指出输注泵阻塞警报的发生，这可能表明过滤器堵塞。本文综述了 PN 和 ILE 的过滤器推荐，描述了 PN 和 ILE 过滤的挑战，并包括了一些建议，以最大程度地减少可能因过滤器堵塞而发生的泵阻塞警报。
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