Arthrectomy Solution Preparation

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Thu, 01/16/2020 - 12:21
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Zachary Allen W...
Zachary Allen Wallace's picture
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Joined: 05/11/2018 - 10:24
Arthrectomy Solution Preparation

Hi all,

Our system is currently preparing arthrectomy cocktails (e.g., Rotaglide/Viperslide variants) in the pharmacy. We've had request by interventionists for compounding in the Cath Lab.

Some concerns with preparation directly in the Cath Lab include USP 797 compliance and general risk associated with mixing several ingredients (e.g., verapamil, nitrates, heparin). Overall turn-around-time (TAT) from pharmacy is in the 20-30 minute range (order to delivery receipt). TAT is somewhat hindered by transportation time as the lubricants cannot be tubed.

I have seen facilities report mixing and tubing everything besides the lubricant, allowing Cath Lab to add this component. Overall, there seems to be a paucity of stability data to prestock the cocktails in a sustainable manner.

Curious to know how other sites are handling this scenario!

Thanks for sharing,
Zach

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