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D F Capes

Publications and source records attributed to D F Capes.

5 recordsLinked to original sources
PubMed1998

Performance of selected flow-restricting infusion devices.

The flow rate accuracy and flow continuity of the Homepump, Infusor, Intermate, Paragon, Sidekick, and Springfusor 10 flow-restricting infusion devices were studied. Three of each device were tested in a temperature-controlled cabinet at the manufacturer-specified operating temperature and at 20 and 30 degrees C. The flow rates used were 100 ml/hr and the rate that would provide a 24-hour delivery of fluid, except in the case of the Springfusor 10, which was tested at the maximum and minimum flow rates. Flow rate was measured gravimetrically at 30-second intervals. The endopoint of infusion was defined as the start of the terminal-phase decline. The effect of refrigerated storage was studied by using the Intermate as an example of the elastomeric devices tested. All devices exhibited a variable flow profile during infusion except for the Paragon, which had a near-constant flow throughout. The average error in flow rate was within the manufacturer's specifications when the devices were used under the manufacturer-specified operating conditions for all devices except for the Sidekick. The definition of the endopoint made little difference in the flow rate results for the Infusor and Springfusor 10 but significantly affected the flow rate results for the other devices, for which there was a substantial terminal phase with a prolonged period of reduced flow rate. The mean flow rate, error, and coefficient of variation for the Intermate devices stored under refrigeration were significantly different from those for the devices not refrigerated before use. When operated as recommended by the manufacturer, five of six devices had a flow rate error within the manufacturer's specifications; the results were affected by endpoint definition.

Drug Delivery Systems↗
PubMed1995

Fluctuations in syringe-pump infusions: association with blood pressure variations in infants.

Flow continuity of two brands of syringe pumps and four brands of syringes was studied as a possible cause of hemodynamic fluctuations observed in neonates. Cyclical fluctuations were observed in the blood pressure of 14 neonates receiving dopamine infusions by syringe pump at flow rates from 0.2 to 1 mL/hr. Atom 235 and IVAC 770 pumps and various sizes of Terumo, Becton Dickinson, Omnifix, and IVAC syringes were evaluated. Flow continuity was assessed by using a gravimetric technique. The force needed to initiate and maintain syringe plunger motion was also measured. Noncontinuous flow was encountered most commonly with Terumo syringes, which delivered boluses at regular intervals at flow rates up to 5 mL/hr. The interval was dependent on flow rate and was similar to the time between the blood pressure fluctuations observed clinically. The syringe plunger force exhibited regular fluctuations indicative of the plunger sticking, and simultaneous measurement of flow established a direct temporal relationship with boluses. The other syringes tested did not exhibit such fluctuations. No differences were found between the two syringe pumps. Syringe plunger sticking, resulting in intermittent boluses and potential blood pressure fluctuations, may occur at low flow rates and with certain syringe brands. This appeared to be the cause of hemodynamic fluctuations in neonates receiving dopamine infusions.

Blood Pressure↗
PubMed1993

Use of a new syringe pump (Springfusor) for muscle relaxant infusion.

A new spring-driven syringe pump (Springfusor 10, Go Medical Industries, Subiaco, W.A.) was evaluated for infusion of muscle relaxants in 50 surgical cases. After an initial bolus dose, atracurium was given at a rate of 25 to 37.5 mg/hour and vecuronium at a rate of 4 to 6 mg/hour. The mean infusion rate was found to be 4% above the nominal rate of 5 ml/hour and the accuracy in all cases was within +/- 20%. The Springfusor was found to be rugged, cheap and easy to use. It lacks dose flexibility but is suitable for continuous background infusion of muscle relaxants during surgery.

Adult↗
PubMedDate not supplied

The effect on syringe performance of fluid storage and repeated use: implications for syringe pumps.

Syringe stiction has been reported to cause syringe pump malfunction, hence the effect on syringe performance of syringe use and the formulations used in the syringe were investigated. The force required for syringe plunger motion (at 2.5 mm min-1), when filled with soybean oil emulsion (SBOE) and with water, and the extraction of silicone oil from syringes by these fluids, were measured for Primo, Talus and Terumo 10 mL, and Terumo 50 mL syringes. The breakloose, average extrusion and maximum force required to maintain plunger motion increased after storage of SBOE for 7 days in all syringes tested (p < 0.05). The storage of water increased the breakloose force of all syringes, but only increased the maximum force of Talus syringes, and both the average extrusion and maximum forces of Terumo 10 mL syringes. The mechanism for this is most likely swelling of the elastomer of the piston due to sorption of fluid. The force was found to increase logarithmically with repeated syringe use. Electrothermal atomization atomic absorption spectroscopy was used to measure the silicone oil content of syringe extractions. Three extractions were performed: repeated flushing, vigorous washing, and storage for 7 days with occasional agitation. Up to 69.4% of the silicone oil present in the syringes was extracted with both water and SBOE when they were stored or washed. In contrast to water, SBOE also extracted the lubricant when the syringe was filled and flushed immediately. If syringes are refilled, stored filled before use, or used over a prolonged period, particularly with a SBOE formulation, syringe striction may occur during infusion with a syringe pump.

Drug Storage↗