Jump to content


Want to join the discussions?

Sign up for a free membership! 

If you are a member already, log in!

(lost your password? reset it here)

99nicu.org 99nicu.org

Do you prime your insulin infusion sets whitin your NICU?  

6 members have voted

You do not have permission to vote in this poll, or see the poll results. Please sign in or register to vote in this poll.

Recommended Posts

Hello, I am a NICU nurse in training and for my study I have an assignment. For this assignment I want information from as many NICU's as possible about priming the infusion sets before starting the insulin infusion. Does this happen in your NICU, and if so, how? Do you have protocols I can use?  Which concentrations are used and which flow rate 

  • Like 1
  • Upvote 2
Link to post
Share on other sites

@ChantalNICU thanks for posting! Wished I could share my own experience but it is very small... and now I work in a level-2 context.

Just wanted to share 1) the video from the 2019 Meetup (below), 2) the hyperglycemia protocol from Sydney (https://www.slhd.nsw.gov.au/RPA/neonatal/protocols.html) and 3) the Auckland insulin guideline (http://www.adhb.govt.nz/newborn/DrugProtocols/InsulinPharmacology.htm)

I can check with my level-3 colleagues in Stockholm after the summer vacation, if they have their own local guideline.



  • Like 1
Link to post
Share on other sites

Interesting subject.

In Vienna, we prime insulin infusion systems before use. The insulin is prepared as ordered, we start off with 0.05-0.1 IE/kg/h. After 30min, the insulin in the infusion system is discarded and the same amount/dilution prepared with the same system before use.

Let me know if you need more information @ChantalNICU

  • Like 1
  • Thanks 1
Link to post
Share on other sites
  • 2 weeks later...

Interesting Subject. And More literature than we would believe, including YouTube  Videos. We have primed a few years ago but we stopped  because non of our problems were resolved. Despite a lot of tricky literature there are to many variables (tube and line materials, Insulin measurment (Timing, method) wanted Insulin concentration, dont forget filters)... ..  to finde the right answer. Hard work for chantalnicu.😊

  • Like 3
Link to post
Share on other sites
  • 1 month later...

Thank you @Francesco Cardona for your response! 

And also thank you @Bernhard Bungert Indeed, it is an interesting subject and indeed, I am working hard ;). Lots of literature but unfortunately not specifically focused on the neonatal unit and materials. You describe that the problems were not solved. What problems are you referring to? I am assuming that you are referring to persistent hyperglycemia.

@Stefan Johansson May I ask if you have already checked with your level-3 colleagues in Stockholm? I am very curious :D 

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Create New...