Subcutaneous infusion in palliative care: the neria soft infusion set.

Patients approaching the end of their life may be unable to tolerate the administration of oral medication owing to their underlying disease and/or symptoms, such as nausea and vomiting. Subcutaneous infusion is an alternative route of administration that offers several advantages over oral and intravenous routes. This product focus article provides an overview of subcutaneous infusion, including how the selection of the most appropriate infusion device can greatly contribute to the overall comfort of the patient. This in turn minimises the potential for premature device loss, which can lead to repeated insertion procedures for the patient, increases the potential for infection, and has resource implications. The article then describes the neria soft infusion set, as well as providing case studies of its use.

[1]  J. Gabriel Sharps injuries and their prevention: what the new European legislation may mean for palliative care services. , 2012, International journal of palliative nursing.

[2]  S. Ward Palliative Care Formulary (4th edn) , 2012 .

[3]  S. Griffith Improving practice using action research: resolving the problem of kinking with non-metal cannulae. , 2011, International journal of palliative nursing.

[4]  J. Gabriel Infusion therapy. Part two: Prevention and management of complications. , 2008, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[5]  L. Dougherty Central Venous Access Devices: Care and Management , 2007 .

[6]  P. Ingram,et al.  Peripheral intravenous therapy: key risks and implications for practice. , 2005, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[7]  J. Trim Raising awareness and reducing the risk of needlestick injuries. , 2004, Professional nurse.

[8]  P. Howard,et al.  Palliative Care Formulary , 2002 .

[9]  Maria Carrion Torre Subcutaneous infusion: non-metal cannulae vs metal butterfly needles. , 2002, British journal of community nursing.

[10]  D. Maki,et al.  The promise of novel technology for the prevention of intravascular device-related bloodstream infection. II. Long-term devices. , 2002, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[11]  B. Higgins,et al.  A randomized trial of winged Vialon cannulae and metal butterfly needles. , 2000, International journal of palliative nursing.

[12]  A. Wilcock,et al.  Symptom management in advanced cancer , 1997 .