Reply To: Spiros and Busulfan Administration

  • Anne Raines

    April 17, 2017 at 2:47 pm
    Michelle – We’ve had the Spiros rep out multiple times due to a few chemo leaks.  They’ve been very helpful in identifying the preparation issues.  Might be worth a phone call to them.

    ——Original Message——

    Hello from Phoenix,

    We recently switched to Spiros. We’ve had two instances of exposure with Busulfan administration. On one, the Spiros came unscrewed from the end of the administration set, and we assumed user-error in placing the device.

    On the second, however, the Busulfan seemed to degrade the Spiros itself. The valve inside the Spiros didn’t close and the system was completely open, spilling Busulfan out the end, even when not engaged to a luer connection.

    For those of you who are using Spiros and give Busulfan, have you seen any of these issues and what have you done to correct this?

    Thank you so much!

    Michelle Gillard, MSN, RN, CPHON
    Clinical Education Specialist Phoenix Children’s Hospital
    Phoenix, AZ