An alternative for rapid administration of medication and fluids in the emergency setting using a novel device

Neal Lyons, Daniel Nejak, Nadine Lomotan, Robert Mokszycki, Stephen Jamieson, Marc McDowell, Erik Kulstad

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Routes of administration for medications and fluids in the acute care setting have primarily focused on oral, intravenous, or intraosseous routes, but, in many patients, none of these routes is optimal. A novel device (Macy Catheter; Hospi Corp) that offers an easy route for administration of medications or fluids via rectal mucosal absorption (proctoclysis) has recently become available in the palliative care market; we describe here the first known uses of this device in the emergency setting. Three patients presenting to the hospital with conditions limiting more typical routes of medication or fluid administration were treated with this new device; patients were administered water for hydration, lorazepam for treatment of alcohol withdrawal, ondansetron for nausea, acetaminophen for fever, aspirin for antiplatelet effect, and methimazole for hyperthyroidism. Placement of the device was straightforward, absorption of administered medications (judged by immediacy of effects, where observable) was rapid, and use of the device was well tolerated by patients, suggesting that this device may be an appealing alternative route to medication and fluid administration for a variety of indications in acute and critical care settings.

Original languageEnglish (US)
JournalThe American journal of emergency medicine
Volume33
Issue number8
DOIs
StatePublished - Aug 1 2015

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Emergencies
Equipment and Supplies
Methimazole
Lorazepam
Ondansetron
Hyperthyroidism
Critical Care
Acetaminophen
Palliative Care
Nausea
Aspirin
Fever
Catheters
Alcohols
Water
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

An alternative for rapid administration of medication and fluids in the emergency setting using a novel device. / Lyons, Neal; Nejak, Daniel; Lomotan, Nadine; Mokszycki, Robert; Jamieson, Stephen; McDowell, Marc; Kulstad, Erik.

In: The American journal of emergency medicine, Vol. 33, No. 8, 01.08.2015.

Research output: Contribution to journalArticle

Lyons, Neal ; Nejak, Daniel ; Lomotan, Nadine ; Mokszycki, Robert ; Jamieson, Stephen ; McDowell, Marc ; Kulstad, Erik. / An alternative for rapid administration of medication and fluids in the emergency setting using a novel device. In: The American journal of emergency medicine. 2015 ; Vol. 33, No. 8.
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