Y-Set (intravenous therapy)

Last updated
V-Set: Multiple line IV injection site whereby several lines can be used at the same time for administering drugs to the patient. WP 20141201 09 29 11 Pro.jpg
V-Set: Multiple line IV injection site whereby several lines can be used at the same time for administering drugs to the patient.

In intravenous therapy a Y-Set, T-Set and V-Sets are Y-, T- and V-shaped three-way connector sets made of connecting plastic tubes used for delivering intravenous drugs into the body from multiple fluid sources. As Y-Sets [1] are the most common shaped sets, Y-Set is a name that is sometimes used to represent the family of connector sets (sometimes called Y-tubes). The majority of these infusion sets have a left and right hand line that deliver fluid and drugs (often via a valve) to a short common limb attached to the female fitting on the intravenous cannulae.

Applications

3-way connectors allow for "piggybacking", that is, putting a second infusion set onto the same line, such as adding a dose of antibiotics to a continuous volume expander drip, with the etymology being to refer to the second infusion as "riding on the back" of the first one.

Most 3+ way connectors can be opened to allow an infusion limb and a vertical limb to deliver fluid via a common limb to the female fitting of an IV cannulae. V-shaped fittings allow multiple limbs to flow directly to the patient with no common space. As different tubes for these infusion sets usually have different flow rates and fluid delivered from different tubes, there is a risk that the common space (dead volume) of Y-Sets and T-Sets fills with high concentration drugs and accidentally gets flushed out at a high flow rate. [2]

Related Research Articles

<span class="mw-page-title-main">Valve</span> Flow control device

A valve is a device or natural object that regulates, directs or controls the flow of a fluid by opening, closing, or partially obstructing various passageways. Valves are technically fittings, but are usually discussed as a separate category. In an open valve, fluid flows in a direction from higher pressure to lower pressure. The word is derived from the Latin valva, the moving part of a door, in turn from volvere, to turn, roll.

<span class="mw-page-title-main">Intravenous therapy</span> Medication administered into a vein

Intravenous therapy is a medical technique that administers fluids, medications and nutrients directly into a person's vein. The intravenous route of administration is commonly used for rehydration or to provide nutrients for those who cannot, or will not—due to reduced mental states or otherwise—consume food or water by mouth. It may also be used to administer medications or other medical therapy such as blood products or electrolytes to correct electrolyte imbalances. Attempts at providing intravenous therapy have been recorded as early as the 1400s, but the practice did not become widespread until the 1900s after the development of techniques for safe, effective use.

<span class="mw-page-title-main">Peristaltic pump</span> Type of pump

A peristaltic pump, also commonly known as a roller pump, is a type of positive displacement pump used for pumping a variety of fluids. The fluid is contained in a flexible tube fitted inside a circular pump casing. Most peristaltic pumps work through rotary motion, though linear peristaltic pumps have also been made. The rotor has a number of "wipers" or "rollers" attached to its external circumference, which compress the flexible tube as they rotate by. The part of the tube under compression is closed, forcing the fluid to move through the tube. Additionally, as the tube opens to its natural state after the rollers pass, more fluid is drawn into the tube. This process is called peristalsis and is used in many biological systems such as the gastrointestinal tract. Typically, there will be two or more rollers compressing the tube, trapping a body of fluid between them. The body of fluid is transported through the tube, toward the pump outlet. Peristaltic pumps may run continuously, or they may be indexed through partial revolutions to deliver smaller amounts of fluid.

<span class="mw-page-title-main">Venipuncture</span> Process of obtaining intravenous access

In medicine, venipuncture or venepuncture is the process of obtaining intravenous access for the purpose of venous blood sampling or intravenous therapy. In healthcare, this procedure is performed by medical laboratory scientists, medical practitioners, some EMTs, paramedics, phlebotomists, dialysis technicians, and other nursing staff. In veterinary medicine, the procedure is performed by veterinarians and veterinary technicians.

<span class="mw-page-title-main">Route of administration</span> Path by which a drug, fluid, poison, or other substance is taken into the body

In pharmacology and toxicology, a route of administration is the way by which a drug, fluid, poison, or other substance is taken into the body.

<span class="mw-page-title-main">Subcutaneous administration</span> Insertion of medication under the skin

Subcutaneous administration is the insertion of medications beneath the skin either by injection or infusion.

<span class="mw-page-title-main">Diving regulator</span> Mechanism that controls the pressure of a breathing gas supply for diving

A diving regulator is a pressure regulator that controls the pressure of breathing gas for diving. The most commonly recognised application is to reduce pressurized breathing gas to ambient pressure and deliver it to the diver, but there are also other types of gas pressure regulator used for diving applications. The gas may be air or one of a variety of specially blended breathing gases. The gas may be supplied from a scuba cylinder carried by the diver, in which case it is called a scuba regulator, or via a hose from a compressor or high-pressure storage cylinders at the surface in surface-supplied diving. A gas pressure regulator has one or more valves in series which reduce pressure from the source, and use the downstream pressure as feedback to control the delivered pressure, or the upstream pressure as feedback to prevent excessive flow rates, lowering the pressure at each stage.

<span class="mw-page-title-main">Tap (valve)</span> Valve controlling the release of a liquid or gas

A tap is a valve controlling the release of a fluid.

<span class="mw-page-title-main">Ball valve</span> Flow control device

A ball valve is a flow control device which uses a hollow, perforated, and pivoting ball to control fluid flowing through it. It is open when the hole through the middle of the ball is in line with the flow inlet, and closed when it is pivoted 90 degrees by the valve handle, blocking the flow. The handle lies flat in alignment with the flow when open, and is perpendicular to it when closed, making for easy visual confirmation of the valve's status. The shut position 1/4 turn could be in either clockwise or counter-clockwise direction.

<span class="mw-page-title-main">Respiratory arrest</span> Medical condition

Respiratory arrest is a serious medical condition caused by apnea or respiratory dysfunction severe enough that it will not sustain the body. Prolonged apnea refers to a patient who has stopped breathing for a long period of time. If the heart muscle contraction is intact, the condition is known as respiratory arrest. An abrupt stop of pulmonary gas exchange lasting for more than five minutes may permanently damage vital organs, especially the brain. Lack of oxygen to the brain causes loss of consciousness. Brain injury is likely if respiratory arrest goes untreated for more than three minutes, and death is almost certain if more than five minutes.

<span class="mw-page-title-main">Loop diuretic</span> Diuretics that act along the loop of Henle in the kidneys

Loop diuretics are diuretics that act on the Na-K-Cl cotransporter along the thick ascending limb of the loop of Henle in nephrons of the kidneys. They are primarily used in medicine to treat hypertension and edema often due to congestive heart failure or chronic kidney disease. While thiazide diuretics are more effective in patients with normal kidney function, loop diuretics are more effective in patients with impaired kidney function.

The drop is an approximated unit of measure of volume, the amount dispensed as one drop from a dropper or drip chamber. It is often used in giving quantities of liquid drugs to patients, and occasionally in cooking and in organic synthesis. The abbreviations gt or gtt come from the Latin noun gutta ("drop").

<span class="mw-page-title-main">Hydraulic machinery</span> Type of machine that uses liquid fluid power to perform work

Hydraulic machines use liquid fluid power to perform work. Heavy construction vehicles are a common example. In this type of machine, hydraulic fluid is pumped to various hydraulic motors and hydraulic cylinders throughout the machine and becomes pressurized according to the resistance present. The fluid is controlled directly or automatically by control valves and distributed through hoses, tubes, or pipes.

<span class="mw-page-title-main">Intraosseous infusion</span> Medical procedure of injecting medications into bone marrow

Intraosseous infusion (IO) is the process of injecting medications, fluids, or blood products directly into the marrow of a bone; this provides a non-collapsible entry point into the systemic venous system. The intraosseous infusion technique is used to provide fluids and medication when intravenous access is not available or not feasible. Intraosseous infusions allow for the administered medications and fluids to go directly into the vascular system. The IO route of fluid and medication administration is an alternative to the preferred intravascular route when the latter cannot be established promptly in emergent situations. Intraosseous infusions are used when people have compromised intravenous access and need immediate delivery of life-saving fluids and medications.

<span class="mw-page-title-main">Infusion pump</span> Medical device

An infusion pump infuses fluids, medication or nutrients into a patient's circulatory system. It is generally used intravenously, although subcutaneous, arterial and epidural infusions are occasionally used.

A leak is a way for fluid to escape a container or fluid-containing system, such as a tank or a ship's hull, through which the contents of the container can escape or outside matter can enter the container. Leaks are usually unintended and therefore undesired. The word leak usually refers to a gradual loss; a sudden loss is usually called a spill.

<span class="mw-page-title-main">Scuba manifold</span> Scuba component used to functionally connect diving cylinders

A scuba manifold is a device incorporating one or more valves and one or more gas outlets with scuba regulator connections, used to connect two or more diving cylinders containing breathing gas, providing a greater amount of gas for longer dive times or deeper dives. An isolation manifold allows the connection between the cylinders to be closed in the case of a leak from one of the cylinders or its valve or regulator, conserving the gas in the other cylinder. Diving with two or more cylinders is often associated with technical diving. Almost all manifold assemblies include one cylinder valve for each cylinder, and the overwhelming majority are for two cylinders.

<span class="mw-page-title-main">Piping and plumbing fitting</span> Connecting pieces in pipe systems

A fitting or adapter is used in pipe systems to connect sections of pipe or tube, adapt to different sizes or shapes, and for other purposes such as regulating fluid flow. These fittings are used in plumbing to manipulate the conveyance of fluids such as water for potatory, irrigational, sanitary, and refrigerative purposes, gas, petroleum, liquid waste, or any other liquid or gaseous substances required in domestic or commercial environments, within a system of pipes or tubes, connected by various methods, as dictated by the material of which these are made, the material being conveyed, and the particular environmental context in which they will be used, such as soldering, mortaring, caulking, Plastic welding, welding, friction fittings, threaded fittings, and compression fittings.

Limb perfusion is a medical technique that is used to deliver drugs locally directly to a site of interest. It is commonly used in human medicine for administration of anticancer drugs directly to an arm or leg. It is also used in veterinary medicine to deliver drugs to a site of infection or injury, as well as for the treatment of cancer in dogs. In both cases, a tourniquet is used to reduce blood flow out of the area that is being treated.

<span class="mw-page-title-main">Mechanism of diving regulators</span> Components of regulators for underwater diving

The mechanism of diving regulators is the arrangement of components and function of gas pressure regulators used in the systems which supply breathing gases for underwater diving. Both free-flow and demand regulators use mechanical feedback of the downstream pressure to control the opening of a valve which controls gas flow from the upstream, high-pressure side, to the downstream, low-pressure side of each stage. Flow capacity must be sufficient to allow the downstream pressure to be maintained at maximum demand, and sensitivity must be appropriate to deliver maximum required flow rate with a small variation in downstream pressure, and for a large variation in supply pressure, without instability of flow. Open circuit scuba regulators must also deliver against a variable ambient pressure. They must be robust and reliable, as they are life-support equipment which must function in the relatively hostile seawater environment, and the human interface must be comfortable over periods of several hours.

References

  1. "Y-set - definition of Y-set in the Medical dictionary - by the Free Online Medical Dictionary, Thesaurus and Encyclopedia". Medical-dictionary.thefreedictionary.com. Retrieved 2012-09-29.
  2. Lannoy, D.; Décaudin, B.; Dewulf, S.; Simon, N.; Secq, A.; Barthélémy, C.; Debaene, B.; Odou, P. (Dec 2010). "Infusion set characteristics such as antireflux valve and dead-space volume affect drug delivery: an experimental study designed to enhance infusion sets". Anesth Analg. 111 (6): 1427–31. doi: 10.1213/ANE.0b013e3181f66ee3 . PMID   21106966. S2CID   24864279.