Prefilled Sux and Fentanyl syringes

[Tom Waters]

I too would support it.  Back in about 1995 or so, at a 911 service, we
carried Quelecin, a generic sux.  It was in 100mg bristo-jets, and we just
threw it out every 45-90 days due to refridgeration  issues.  It was REALLY
nice to have pre-filled.  I then worked for a company that had Sux in POWDER
form, in 50cc bags, kinda like an Admixture setup.  You reconstituted it,
and had it, but then had to suck it back out (I think you actually only put
in 10 cc's of fluid, that's just the smallest bag they make) that was good
b/c it didn't require the fridge, but they quit making that setup as well.

I've never seen fentanyl in PF's but wish it were.

Tom Waters FP-C
Wyoming Life Flight

-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com] On Behalf Of Lee Richardson
Sent: Thursday, January 22, 2004 11:38
To: Flightmed
Subject: Re: Prefilled Sux and Fentanyl syringes


I would support this concept.  Even in ground transport it would be a
benefit as well as have the potential to decrease needle stick injuries to
providers (the reason IN med administration is gaining popularity).

Lee Richardson, NREMT-P, FP-C
Texas
----- Original Message ----- 
From: <DavidK8084 at aol.com>
To: "Flightmed" <flightmed at flightweb.com>
Sent: Thursday, January 22, 2004 12:32 PM
Subject: Prefilled Sux and Fentanyl syringes



> About ten years ago, I asked some drug companies about the possibility 

> of

packaging fentanyl and succinylcholine in prefilled syringes for the sake of
speeding our emergent airway management.  At that time, I was told by all
that they did not perceive a market need for a prefilled syringe of either
of those drugs.  It was felt that their major market was hospital anesthesia
and that they were content with sealed ampules and stoppered vials.

>

> I have not stopped thinking about this.  In fact, each time I am in 

> the

middle of trying to perform an emergent RSI, I think about it.  My feeling
is that in the ten years since I first approached those drug companies with
this idea the use of RSI by air medical and critical care ground operations
has significantly increased.  While the exact combination of agents may vary
from place to place, their use has become the expected standard of care.

>

> A recent search by our pharmacy buyer revealed that the packaging

situation has not changed.  So, I am once again thinking about soliciting
the appropriate drug manufacturers about providing the meds we use for RSI
in prefilled syringes.

>

> My question for the community is this: Is there a desire to see

succinylcholine, fentanyl, etomidate, or other agent not now in prefilled
syringe, made available?  Would you be willing to join in a letter writing
campaign to specific manufacturers requesting this?

>

> You may respond either on list or privately.  I think this could be an

interesting discusssion.

>

> David Kearns, MS, RN, CFRN

> St. Anthony Flight For Life

> Denver, Colorado _______________________________________________

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