TY - JOUR
T1 - International Consensus Recommendation Guidelines for Subcutaneous Infusions of Hydration and Medication in Adults
T2 - An e-Delphi Consensus Study
AU - Broadhurst, Daphne
AU - Cooke, Marie
AU - Sriram, Deepa
AU - Barber, Lauren
AU - Caccialanza, Riccardo
AU - Danielsen, Mathias Brix
AU - Ebersold, Stacie Lynne
AU - Gorski, Lisa
AU - Hirsch, David
AU - Lynch, Gerardine
AU - Neo, Shirlyn Hui Shan
AU - Roubaud-Baudron, Claire
AU - Gray, Brenda
N1 - Publisher Copyright:
Copyright © 2023 The Authors.
PY - 2023/7/5
Y1 - 2023/7/5
N2 - Infusion of fluids and medications is traditionally performed intravenously. However, venous depletion in patients has led to the quest for vessel health preservation. A safe, effective, acceptable, and efficient alternative is the subcutaneous route. A lack of organizational policies may contribute to the slow uptake of this practice. This modified e-Delphi (electronic) study aimed to derive international consensus on practice recommendations for subcutaneous infusions of fluids and medications. A panel of 11 international clinicians, with expertise in subcutaneous infusion research and/or clinical practice, rated and edited subcutaneous infusion practice recommendations from evidence, clinical practice guidelines, and clinical expertise within an Assessment, Best Practice, and Competency (ABC) domain guideline model. The ABC Model for Subcutaneous Infusion Therapy provides a systematic guideline of 42 practice recommendations for the safe delivery of subcutaneous infusions of fluids and medications in the adult population in all care settings. These consensus recommendations provide a guideline for health care providers, organizations, and policy makers to optimize use of the subcutaneous access route.
AB - Infusion of fluids and medications is traditionally performed intravenously. However, venous depletion in patients has led to the quest for vessel health preservation. A safe, effective, acceptable, and efficient alternative is the subcutaneous route. A lack of organizational policies may contribute to the slow uptake of this practice. This modified e-Delphi (electronic) study aimed to derive international consensus on practice recommendations for subcutaneous infusions of fluids and medications. A panel of 11 international clinicians, with expertise in subcutaneous infusion research and/or clinical practice, rated and edited subcutaneous infusion practice recommendations from evidence, clinical practice guidelines, and clinical expertise within an Assessment, Best Practice, and Competency (ABC) domain guideline model. The ABC Model for Subcutaneous Infusion Therapy provides a systematic guideline of 42 practice recommendations for the safe delivery of subcutaneous infusions of fluids and medications in the adult population in all care settings. These consensus recommendations provide a guideline for health care providers, organizations, and policy makers to optimize use of the subcutaneous access route.
KW - consensus
KW - e-Delphi
KW - hypodermoclysis
KW - infusion therapy
KW - subcutaneous
KW - subcutaneous therapy
U2 - 10.1097/NAN.0000000000000511
DO - 10.1097/NAN.0000000000000511
M3 - Journal article
C2 - 37406334
AN - SCOPUS:85163927349
SN - 1533-1458
VL - 46
SP - 199
EP - 209
JO - Journal of infusion nursing
JF - Journal of infusion nursing
IS - 4
ER -