3 results on '"For The Armed Study Group"'
Search Results
2. Effects of flow rate on the migration of different plasticizers from PVC infusion medical devices
- Author
-
Lise Bernard, Teuta Eljezi, Hélène Clauson, Céline Lambert, Yassine Bouattour, Philip Chennell, Bruno Pereira, Valérie Sautou, ARMED Study Group, Institut de Chimie de Clermont-Ferrand (ICCF), SIGMA Clermont (SIGMA Clermont)-Institut de Chimie du CNRS (INC)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS), CHU Clermont-Ferrand, Service Pharmacie [CHU Clermont-Ferrand], CHU Louise Michel [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand-CHU Gabriel Montpied [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Estaing [Clermont-Ferrand], Direction de la recherche clinique et de l’innovation [CHU Clermont-Ferrand] (DRCI), CHU Gabriel Montpied [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand-CHU Estaing [Clermont-Ferrand], and CHU Clermont-Ferrand-CHU Louise Michel [Clermont-Ferrand]
- Subjects
Contact time ,Polymers ,[SDV]Life Sciences [q-bio] ,lcsh:Medicine ,02 engineering and technology ,010501 environmental sciences ,MESH: Plasticizers ,01 natural sciences ,Mass Spectrometry ,Analytical Chemistry ,chemistry.chemical_compound ,Spectrum Analysis Techniques ,Plasticizers ,Infusion Procedure ,Medicine and Health Sciences ,lcsh:Science ,Polyvinyl Chloride ,Flow Rate ,Multidisciplinary ,Chemistry ,Pharmaceutics ,Organic Compounds ,Physics ,Chromatographic Techniques ,Classical Mechanics ,MESH: Equipment and Supplies ,021001 nanoscience & nanotechnology ,Hospitals ,3. Good health ,Volumetric flow rate ,Intensive Care Units ,Macromolecules ,Equipment and Supplies ,Physical Sciences ,Chloroform ,0210 nano-technology ,Research Article ,Biotechnology ,Drug Administration ,Patients ,Materials by Structure ,Materials Science ,MESH: Polyvinyl Chloride ,Fluid Mechanics ,Research and Analysis Methods ,Continuum Mechanics ,Gas Chromatography-Mass Spectrometry ,Drug Therapy ,Intensive care ,Humans ,0105 earth and related environmental sciences ,Inpatients ,MESH: Humans ,lcsh:R ,Significant difference ,Organic Chemistry ,Plasticizer ,Chemical Compounds ,Biology and Life Sciences ,Fluid Dynamics ,Polymer Chemistry ,Pvc matrix ,Health Care ,Polyvinyl chloride ,Health Care Facilities ,lcsh:Q ,Medical Devices and Equipment ,MESH: Intensive Care Units ,Biomedical engineering - Abstract
International audience; Infusion medical devices (MDs) used in hospitals are often made of plasticized polyvinylchloride (PVC). These plasticizers may leach out into infused solutions during clinical practice, especially during risk-situations, e.g multiple infusions in Intensive Care Units and thus may enter into contact with the patients. The migrability of the plasticizers is dependent of several clinical parameters such as temperature, contact time, nature of the simulant, etc… However, no data is available about the influence of the flow rate at which drug solutions are administrated. In this study, we evaluated the impact of different flow rates on the release of the different plasticizers during an infusion procedure in order to assess if they could expose the patients to more toxic amounts of plasticizers. Migration assays with different PVC infusion sets and extension lines were performed with different flow rates that are used in clinical practice during 1h, 2h, 4h, 8h and 24h, using a lipophilic drug simulant. From a clinical point of view, the results showed that, regardless of the plasticizer, the faster the flow rate, the higher the infused volume and the higher the quantities of plasticizers released, both from infusion sets and extension lines, leading to higher patient exposure. However, physically, there was no significant difference of the migration kinetics linked to the flow rate for a same medical device, reflecting complex interactions between the PVC matrix and the simulant. The migration was especially dependent on the nature and the composition of the medical device.
- Published
- 2018
- Full Text
- View/download PDF
3. Patients’ exposure to PVC plasticizers from ECMO circuits.
- Author
-
Fernandez-Canal, Charlotte, Pinta, Pierre-Gabriel, Eljezi, Teuta, Larbre, Virginie, Kauffmann, Sophie, Camilleri, Lionel, Cosserant, Bernard, Bernard, Lise, Pereira, Bruno, Constantin, Jean-Michel, Grimandi, Gael, Sautou, Valérie, and for Armed Study Group
- Subjects
PLASTICIZERS ,EXTRACORPOREAL membrane oxygenation ,CARDIAC arrest ,DEFIBRILLATORS ,POLYVINYL chloride - Abstract
Background : ECMO is a therapeutic act with a high risk of exposure to diethylhexylphthalate (DEHP), plasticizer from PVC tubings. The replacement of this plasticizer with alternative compounds is recommended but the risks associated with the use of new plasticizers have not been evaluated in ECMO situations.Methods :Ex vivo ECMO models were performed with different flow rates over 6 days to evaluate the migration of plasticizers and their potential toxic risk for patient. The release of plasticizers during ECMO was measured and compared to reference value (derived no effect level, DNEL) and to cytotoxic concentration carried out with MTT test.Results : Trioctyltrimellitate (TOTM), main plasticizer present in circuit (44% w/w), is weakly released during ECMO. Concentrations are not cytotoxic and exposure doses are lower than DNEL. In contrast, DEHP doses are higher than the DNEL despite a lower presence of DEHP in the circuit (0.2%). We have shown that DEHP is not coming from the circuit but from the priming bag. Replacing this bag with a multilayer one avoids the exposure to DEHP.Conclusion : Our study shows that circuits made of PVC plasticized with TOTM against DEHP improves the safety of ECMO. [ABSTRACT FROM AUTHOR]- Published
- 2018
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.