Impact of infusion set characteristics on the accuracy of patient-controlled morphine administration: A controlled in-vitro study

Abstract

The aim of our in-vitro study was to assess the impact of infusion set characteristics on the accuracy of morphine doses in patient-controlled analgesia. Two infusion sets differing in conception and dead-space volume were assessed: a standard set and a low dead-space volume Y-set. The patient-controlled analgesia programme parameters were as follows: bolus equal to 1 ml at 100 ml.h-1; lockout intervals equal to 5 and 10 min; and carrier fluid flow rate equal to 10 and 50 ml.h-1. Morphine concentration was determined by an ultraviolet spectrophotometric method. The morphine doses were significantly different from one set to the other during bolus and lockout intervals, whatever the patient-controlled analgesia programme. The average doses were approximately 1.3-6.0 times higher with the low dead-space volume Y-set during bolus. Our study underlines the impact of infusion set characteristics on the accuracy of morphine patient-controlled analgesia doses. © 2013 The Association of Anaesthetists of Great Britain and Ireland.