Reliable and convenient intravenous infusion systems are among the most important aspects of anaesthesia care. Anaesthesiologists spend considerable time and effort staring IV infusion, regulating infusion rate, administering fluid boluses, monitoring infusion rate and making sure that the medications injected through the ports in the IV sets get reliably "flushed" into the patient’s circulation.

The results of a recent study suggest that the old-fashioned gravity-driven infusion IV sets continue to be the most widely used IV sets by anaesthesiologists. However, there is a divergence of preferences when it comes to the choice between the MACRO-drip and MICRO-drip sets because of the inherent advantages and disadvantages over one another.

The survey further clearly indicates that the present design of gravity IV infusion sets have inherent limitations and that anaesthesiologists combine various sets even in a single patient in order to meet their infusion needs.

(Ref : The Internet Journal of Anaesthesiology ISSN 1092-406X)

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About Dialysis Procedure

The number of people suffering from kidney problems and the patients on resultant dialysis is increasing phenomenally by the day.

That each dialysis procedure is like a surgical procedure and it should be treated with the same precautions and care.

Leakages from the dialysis machines onto the floors are explained off as water. Most of the time it is never water, but the output fluids of the machines as a result of clogging of drainage pipes. These fluids are carriers of all sorts of viruses.

It is only in Asian countries that dialysis disposables are reused. In Europe and America the consumables are disposed off after a single use.

Commercial dialysis centers are guilty of using the same IV set for several patients. There is no better way of spreading infections. New set of a.v. fistula needles, injection needles and syringes for each dialysis should always be used and they must be cut and disposed off after use.

The more the number of reuse of tubing and dialyser the less the efficiency. The maximum reuse for dialyser is 6 to 7 times. the maximum usage of tubing is 12 reuses. Many dialysis units are guilty of using them for up to 12 times. In such cases though the center make money the patient is at a big disadvantage. To monitor the clearance levels, go in for periodic post dialysis blood check ups.

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