Reply To: Pump to infuse HPSC?

  • Rebecca Swanson

    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.

    Rebecca Swanson, DNP,CPNP
    Pediatric Heme Onc BMT
    Omaha, NE
    United States
    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.

    Pediatric Oncology/BMT Nurse Practitioner
    Johns Hopkins Hospital
    Baltimore, MD USA

    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?

    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