For those institutions following the requirement to filter fat emulsion infusions with a 1.2 micron filter, have your nurses reported issues with the filters, especially after pausing the infusion to administer intermittent medications? Our nurses are getting downstream occlusion alarms on the pumps once the fat emulsion is started again. If you've experienced this, any suggestions on how to prevent this?

Thanks!

As you know, FDA-approved labeling for fat emulsion was modified last year to include a requirement for filtering infusions with a 1.2 micron filter. I'm not sure whether lipid rescue was considered though. Has anyone given that some thought or actually considered and decided one way or another? When fat emulsion is needed in an emergency such as accidental intravenously administered bupivacaine, would you require a filter as per the label?

Thanks,

Mike Cohen