Management of Gravity Intravenous Infusions in an Austere Environment Utilizing the DripAssist™ Infusion Rate Monitor
MAJ John E. Buonora PhD, CRNA, U.S. Army Graduate Program in Anesthesia Nursing (USAGPAN)
Providing medical care in austere environments offers unique challenges. The 541st Forward Surgical Team (FST) (Airborne) deployed in support of Operation Inherent Resolve – Syria in 2017. Our unit used Total Intravenous Anesthesia (TIVA) as the sole means of delivering anesthesia, eliminating the need for drawover vaporizers and inhalation anesthetics. Unfortunately, our multi-channel IV infusion pumps arrived nonoperational and remained unrepairable for the duration of the deployment. The team’s only option was to use gravity infusions and count drops. Adding a new device, a DripAssist™ Infusion Rate Monitor, as the sole means of quantitating IV infusion rates and TIVA allowed us to provide safe, accurate, and efficient care.
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