Reply To: Pump to infuse HPSC?

  • Rebecca Swanson

    Member
    October 26, 2020 at 9:10 am

    We infuse via Alaris pump with non-filtered tubing. We start infusion at .5 maintenance and increase to 1x, 1.5x, and 2x maintenance q15 min, as tolerated. We continue at 2x maintenance until infusion complete.

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    Rebecca Swanson, DNP,CPNP
    Pediatric Heme Onc BMT
    Omaha, NE
    United States
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    Original Message:
    Sent: 10-24-2020 12:15 PM
    From: Carly Coleman
    Subject: Pump to infuse HPSC?

    We infuse bone marrow and stem cell through the alaris pump
    Carly Coleman
    Cohen Children’s Hospital

    Original Message:
    Sent: 10/24/2020 12:25:00 PM
    From: Jessica Murphy
    Subject: RE: Pump to infuse HPSC?

    We only infuse by gravity – strictly no pumps for stem cell products. We also limit total volume of infusion to 20-25mL/kg.

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    JD Murphy MS CPNP-AC CPHON
    Pediatric Oncology/BMT Nurse Practitioner
    Johns Hopkins Hospital
    Baltimore, MD USA
    jmurph89@jhmi.edu
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    Original Message:
    Sent: 10-24-2020 10:56 AM
    From: Ashley Varnes
    Subject: Pump to infuse HPSC?

    Does your institution infuse HPSC products with a pump? I can find very little research to support this practice, but there has to be a better way than counting drops with gravity. 😳
    We recently infused fresh product received from an international location. Flight times were limited r/t COVID and product had to be filtered twice before infusion.  Large volume – 514cc for a 9kg child made for a challenging infusion while balancing drip rate titration in the midst of diuretics/antihypertensives/CSA etc…  A pump would have allowed for a more accurate infusion time, especially given small size of child while balancing need to infuse cells in timely manner.

    If you use a pump, what brand and what tubing?

    Curious to see how many institutions have transitioned to a pump vs gravity?

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    Ashley Varnes, MSN, RN, CPHON, CPN, BMTCN
    Clinical Practice Nurse Expert II
    Cancer and Blood Disorders Unit
    Medical University of South Carolina
    Shawn Jenkins Children’s Hospital
    varnesa@musc.edu
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