The Efficacy, Safety, and Convenience of a New Device for Flushing Intravenous Catheters (Baro Flush™): A Prospective Study.

Background and Objectives: An effective flushing technique is essential to reduce intravenous (IV)-related complications and improve patient care. New technology should contribute to such improvements, while reducing costs and increasing care efficiency. This study evaluated the efficacy, safety, and convenience of a new flushing technique using a Baro Flush™ controller. Materials and Methods: We evaluated the efficacy and safety of Baro Flush™ by measuring the infusion flushing volume and pressure in vitro. Afterwards, we prospectively enrolled 3000 patients with flushing and assigned 1500 patients with a new technique for flushing and 1500 with a conventional flushing method, which was performed by 48 registered nurses (RNs) at the Gil Medical Center in June 2018. The efficacy, safety, and convenience of the new flushing method were evaluated though a questionnaire survey. Results: The average flushing pressure was 12.5 ± 0.6 psi (86.18 ± 4.14 kPa) with 1.2 ± 0.2 mL per flush, as recommended by the Centers for Disease Control and Prevention based on 85 experiments. No IV-catheter-related complications were reported by the RNs during the study. More than 80% of the RNs reported that the new flushing method was easier to learn, improved care efficacy, and was more convenient than conventional flushing. Conclusions: The new flushing method using a Baro Flush™ controller showed improved efficacy, safety, and convenience compared with the conventional flushing method, and no IV-catheter-related complications occurred, including occlusion and inflammation. The new flushing method promises to reduce IV-catheter-related complications and shows improved efficacy, safety, and convenience.

Radial vibration characteristics of spherical piezoelectric transducers.

This paper presents the vibration characteristics of the radial mode in spherical piezoelectric transducers. The differential equations of piezoelectric radial motion have been derived in terms of radial displacement and electric potential. Applying mechanical and electrical boundary conditions yielded a characteristic equation for radial vibration. Theoretical calculations of the fundamental natural frequency have been compared with numerical and experimental results for transducers of several sizes, and have shown a good agreement. This paper discusses the dependence of natural frequencies on the radius and thickness of the piezoelectric spheres and the difference between piezoelectric and elastic resonances. From the results it has been concluded that the natural frequency was not affected for the first radial mode but was reduced by the piezoelectric phenomenon. It has also been concluded that the natural frequency of the first radial mode depended mostly on the radius rather than on the thickness of the sphere whereas the natural frequency of the second radial mode depended mostly on the thickness rather than the radius.