Inhaled epoprostenol fixed dose without a smart pump?

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Erin Gavin
Erin Gavin's picture
Last seen: 1 week 5 days ago
Joined: 08/02/2021 - 13:41
Inhaled epoprostenol fixed dose without a smart pump?

Hi everyone,
We're updating our inhaled epoprostenol policy and taking a look at newer literature, thinking about efficiencies without losing safety.
One question has come up: has anyone implemented fixed dose inhaled epo administered without a smart infusion pump? Either via Aerogen or other neb system. The thought here is that if there is some acceptable latitude in the dose administered - which it has to be if we are using a fixed dose regardless of weight or other characteristics - then the precision of a smart pump-programmed dose is not necessary. Operationally, it becomes akin to a continuously infused albuterol, though that simplification might provoke some anxiety.
It seems like this would avoid pump availability issues and reduce some risks of inadvertent IV administration/the dispensing steps involved in reducing that risk. Other thoughts and considerations would be great as we work through the options.