Ko Min-Jung, Kim Mu-Young
Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University, Seoul, Republic of Korea.
Front Vet Sci. 2025 Mar 14;12:1547277. doi: 10.3389/fvets.2025.1547277. eCollection 2025.
Intravenous catheters are essential for administering medications and fluid therapy; however, complications such as line disconnection can occur, potentially leading to the discontinuation or delay of treatments. A force-activated separation device (FASD) can be installed between line components to help prevent these complications. Since the FASD has rarely been explored in veterinary settings, a survey of clinicians and clinical applications was conducted to evaluate the necessity, effectiveness, and considerations of this device. The survey revealed that approximately half of the respondents reported line disconnections as occurring "sometimes," with patient-related causes being significantly more frequent than those caused by medical staff. Respondents noted that replacing a disconnected catheter typically required considerable time and at least two staff members. Despite this, over half of the respondents indicated that no preventive measures were in place. In clinical applications using the FASD, the overall disconnection rate across all patients was 44.3%, with the rate increasing with the patient's body weight. Large dogs exhibited a disconnection rate of 80% (8 of 10), followed by medium dogs at 55.6% (10 of 18), and small dogs at 31% (13 of 42). Similar to the survey findings, patient-related causes were the most common for line disconnection. Improper separations occurred at a rate of 39.7%, most frequently between the device and the extension set. Line disconnection causes complications, requires manpower and time, and incurs costs. Therefore, preventive strategies are crucial from the perspectives of patients, owners, and clinicians. The FASD can be one of the strategies, particularly in large-breed dogs.
静脉导管对于给药和液体治疗至关重要；然而，可能会出现诸如管路断开等并发症，这可能导致治疗中断或延误。可以在管路组件之间安装一个力激活分离装置（FASD），以帮助预防这些并发症。由于FASD在兽医领域很少被研究，因此对临床医生和临床应用进行了一项调查，以评估该装置的必要性、有效性和注意事项。调查显示，约一半的受访者报告管路断开情况“有时”发生，与患者相关的原因比医护人员造成的原因更为频繁。受访者指出，更换断开的导管通常需要相当长的时间，并且至少需要两名工作人员。尽管如此，超过一半的受访者表示没有采取预防措施。在使用FASD的临床应用中，所有患者的总体断开率为44.3%，该比率随患者体重增加而上升。大型犬的断开率为80%（10只中的8只），其次是中型犬，为55.6%（18只中的10只），小型犬为31%（42只中的13只）。与调查结果相似，与患者相关的原因是管路断开最常见的原因。不当分离发生率为39.7%，最常发生在装置与延长管之间。管路断开会引发并发症，需要人力和时间，并产生成本。因此，从患者、主人和临床医生的角度来看，预防策略至关重要。FASD可以是其中一种策略，特别是在大型犬中。
