Hi all - I work for a pediatric home infusion company, and we work with small children on milrinone infusions in the home setting. The infusion rates are based on the patient's weight, and for the little ones can be 2 mL/hour or even lower. We have some providers who want to run a carrier solution piggybacked into the line to prevent occlusions, which adds to the complexity of the therapy for the caregivers in the home.
Do any of you have feedback as to how low of a rate you can go to before a carrier is needed to prevent occlusion? We've gone as low as 0.6 mL/hour for KVO, and I'm looking for other people's experiences and possibly research to support going to the providers about the need or lack of need for carrier solutions.