If you have access to a 2nd syringe pump you could run 2 pumps
simultaneously each at 15 mls / hour just by using a 'y' connector......

Best of luck
Tony
----- Original Message -----
From: "kathryn negaard" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, July 04, 2001 2:05 AM


> I am a NICU nurse and LC and am wondering if any of
> you have any suggestions to help me with this.  My
> next door neighbor and good friend had a baby one
> month ago.  Unfortunately, a blood vessel in his cord
> or placenta tore at birth and he was resuscitated for
> 16 minutes before he had a heart rate.  As a result,
> he is severely neurologically impaired, has no basic
> reflexes (ie: suck, swallow, Moro) and is on Phenobarb
> to control seizures. He had a g-tube placed prior to
> being discharged from the hospital.  He has been home
> 5 days now. His mother is a wonderful person who is
> very committed to providing breastmilk for this baby.
> She has three other children that she breastfed each
> for 2.5 years.  She was a schoolteacher but stays home
> with her children now and homeschools them.  The baby
> is currently on bolus feedings q 2 hrs of 45cc
> breastmilk during the day and on continuous feedings
> at night of 30cc an hour x 11 hrs.  Right now the
> family is receiving 12 hours of home health nursing
> care at night, but it will decrease weekly.  The
> problem is this:  we are using a syringe pump to
> infuse the continuous feedings at night, but because
> of the fact that the largest syringe available is a
> 60cc syringe, they cannot hang more than 2 hours worth
> of feeding at a time.  This is okay while the home
> health nursing continues, but I don't know how this
> mother is going to get any sleep in the future when
> she loses nursing care, and when the baby goes up more
> than 30cc an hour on his feedings the syringe changes
> will become more frequent.  We don't want to use a
> kangaroo pump for the continuous feedings because of
> the adherance of the milk fat to the bottle and
> tubing. The baby is having trouble with weight gain as
> it is.  Does anyone know of any other type of pump
> that might be out there that would be suitable for
> infusing breastmilk over a 4 hour period, and that
> would require a low priming volume? I would appreciate
> any suggestions! Thanks     Kathi Negaard, RN, IBCLC
>
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