title: [Intravenous insulin: controversy on the adsorption process of infusion kits].
abstract: Insulin adsorption is a non-specific surface phenomenon that interferes with the patient's insulin demand. This literature review aimed at identifying the causes of insulin adsorption in intravenous solutions and the strategies used to reduce adsorption. Articles from Medical Literature and Retrieval System On Line (MEDLINE), Latin American and Caribbean Health Science Literature (LILACS), Cumulative Index to Nursing & Allied Health Literature (CINAHL) and Co-ordination and Improvement of Graduate People (CAPES) databases were used. Polypropylene flasks and in-line equipment without filter presented less adsorption, adsorption was maximum when the first looml of the solution were infused. Strategies used to minimize insulin adsorption pre-exposure of 50 to 100 solution flasks for 30-60 minutes, use of flasks with smaller internal surface, and short in-lines.
authors.affiliation: Unidade de Terapia Intensiva, Hospital Albert Einstein, São Paulo, Brasil.
authors.forename: Suziane
authors.initials: S
authors.lastname: de Almeida Lima
authors.forename: Renata Luciane Fioratti
authors.initials: RL
authors.lastname: Andreoli
authors.forename: Sonia Aurora Alves
authors.initials: SA
authors.lastname: Grossi
authors.forename: Silvia Regina
authors.initials: SR
authors.lastname: Secoli
mesh_terms: D006801:Humans; D007275:Injections, Intravenous / Q000295:instrumentation; D007328:Insulin / Q000008:administration & dosage / Q000493:pharmacokinetics*; D007332:Insulin Infusion Systems
chemical_list: D007328:Insulin