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So you just infuse subcutaneously?  Give the hylenex first then infuse  
fluids that get absorbed and there is not a huge amount of swelling  
deformity?

don
On Aug 19, 2009, at 1:23 PM, brian sanders wrote:

> We are studying this product here in Atlanta and already have it on  
> formulary at one of our hospitals and are working on getting it on  
> formulary at another. It is a surprising good product and we have  
> been pleased with the results. All of the parents love it. It is not  
> meant to be an alternative to po rehydration, but rather iv  
> rehydration. It takes one nurse, one stick, about 2 minutes from  
> start to finish, compared to average of 2 nurses, 2 sticks, 20  
> minutes. You can bolus 20 cc/kg with no problem, run maintenence  
> fluids, etc. I believe you can give rocephin as well.  I think it  
> costs about 85 dollars for an application and we have been getting  
> fully reimbursed by Medicaid and private insurers.
>
>
>
>
>
>
>
>> Date: Wed, 19 Aug 2009 14:11:41 -0400
>> From: [log in to unmask]
>> Subject: Re: hylenex
>> To: [log in to unmask]
>>
>>
>>
>> Here's a start See attachments Deborah
>>
>> This is very interesting. Can someone forward me some articles,
>> references, and/ or protocols so I can look at the possibility of  
>> using this at our
>> institution.
>>
>>
>>
>> Jason
>>
>>
>>
>>
>> Jason A. Foland, MD
>> Pediatric Critical Care Physician
>> Nemours Children's Clinic
>> www.nemours.org
>> Medical Director, Pediatric Respiratory Therapy
>> Sacred Heart Women & Children's Hospital
>> www.sacred-heart.org
>> Pensacola, Florida
>> [log in to unmask]
>>
>>
>>
>>
>>
>>> Date: Wed, 19 Aug 2009 10:39:35 -0500
>>> From: [log in to unmask]
>>> Subject: Re: hylenex
>>> To: [log in to unmask]
>>>
>>> How about Amphadase? It is cheaper.
>>> Bovine vs Hamster...
>>> Any comments?
>>>
>>>
>>> -----Original Message-----
>>> From: Pediatric Emergency Medicine Discussion List
>>> [mailto:[log in to unmask]] On Behalf Of Peter Antevy
>>> Sent: Tuesday, August 18, 2009 12:08 PM
>>> To: [log in to unmask]
>>> Subject: Re: hylenex
>>>
>>> Bob, we've created a hylenex protocol and have started using it in  
>>> our
>>> ED. It's simple and easy and a great alternative to have. You can
>>> infuse the usual 20 per kg NS bolus rapidly just the same as via IV.
>>> Also it takes 3 minutes and one person to start rather than 2-3  
>>> nurses
>>> and 30 minutes.
>>>
>>> Peter
>>>
>>> -----Original Message-----
>>>
>>> From: BOB BELFER <[log in to unmask]>
>>> Subj: hylenex
>>> Date: Tue Aug 18, 2009 12:28 pm
>>> Size: 1K
>>> To: [log in to unmask]
>>>
>>> Anyone with any experience with below?
>>> thanks,
>>>
>>>
>>
>>
>>
>>
>>
>> Deborah Ann Mulligan, MD FAAP FACEP
>> Institute for Child Health Policy, Director
>> Professor Pediatrics, COM
>> American Academy of Pediatrics, Chair-elect Council on  
>> Communications &
>> Media
>> Nova Southeastern University
>> 3200 S. University Drive, Suite 1212 HPD-EXEC
>> Fort Lauderdale, Florida 33328
>> 954.262.1940
>> FAX: 954.262.3263
>> [log in to unmask]
>> _www.nova.edu/ichp_ (http://www.nova.edu/ichp)
>>
>> For more information, send mail to [log in to unmask] with  
>> the message: info PED-EM-L
>> The URL for the PED-EM-L Web Page is:
>> http://listserv.brown.edu/ped-em-l.html
>
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