My hospital is debating the removal of all air from IV bags given as pressurized infusions (either with a pressure bag or rapid transfusion device). We have traditionally removed all air from IV fluid bags used on arterial and CVP lines, but not from other types of infusions, such as boluses used for fluid resuscitation, which is being proposed. Are other institutions doing this and if so, can you describe what the process might be for removing air from subsequent bags on the same IV line? It has been suggested that we spike, unspike and drain air, then respike. Thank you so much for any info provided.
Kristine Selck, RN, BSN