Sources of Air
Air embolisms have been thought to be the result of in hospital accidents. While this is true in many cases there is new research showing that there are also certain common medical interventions which cause an increased risk of air embolism. These causes are due to the nature of the interventions and cannot be accounted for by clinician diligence alone. An IRB-level clinical study highlights predictable causes for air intrusion. Certain medical interventions bring a high likelihood of iatrogenic air that is difficult to detect and remove with clinician diligence alone. Examples of these interventions include fluid warmers, bolus injections, and infusion pumps. This study shows undeniable results of a significant correlation between certain medical interventions and air entering the IV line.
The main clinical interventions researched in this study include Bolus, Fluid warmers, Blood products and Syringe set up. Shown in the chart below a fluid warmer or bolus increased the likelihood of air burden to 79%. The inclusion of a syringe setup increased the probability of air in line by 20%. And for every 1L of blood product administered the likelihood of air burden increased by 50%. This data shows that there are specific interventions which result in air entering patient IV lines. These interventions are common throughout hospitals around the world and without this data clinical personnel are unknowingly subjecting their patients to preventable air burden during everyday procedures.
Air in IV lines is not a random event, but is a predictable outcome of common interventions. And now Air Burden is avoidable with the ClearLine IV.
The ClearLine IV is a recently approved patient safety device which continuously monitors for and automatically removes air (as small as 25 microliters) from IV lines. ClearLine IV is advancing Air Detection and Air Removal in hospitals to prevent patients from the clinical consequences of Air Burden and Air Embolism.