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Go
Medical is the first company to appreciate the value of nasal patient
controlled analgesia. Using lipophilic drugs such as fentanyl and
sufentanyl it is possible to achieve the same level of pain management as
intravenous PCA as drugs delivered to the nasal mucosa act as quickly as
intravenous injections. The nasal route avoids hepatic first pass
metabolism that reduces the bioavailability of some oral medications.
The
Go Medical nasal PCA device is a hand activated spray that is highly
acceptable to patients. It incorporates a 3 minute fill time. (during
which another full dose cannot be delivered) The spray is delivered in
small droplet form, reducing the volume of drug reaching the nasopharynx.
Applications include pre-emptive analgesia (eg dressing changes for
patients with burns), moderate to severe pain in children and adults and
pallatice care.
The Future: This new method of PCA is likely to replace intra-muscular
injections in most hospitals and to facilitate pain relief for outpatient
and day surgery units.
 
Nasal
Spray Features:
- Portable.
- 0.18mL spray.
- 3, 4 or minute filling
time.
- Extremely simple to use.
- Promotes patient
mobility.
- Reduces dependence on
nursing staff.
- As effective as IV PCA
- Screw top and crimp top models
available. Screw top model can be refilled by pharmacist
- Safe, low cost and easy
to fill.
- 2 minute lock out also available
Can
also be use with any soluble lipophilic drug.
Fluid,
Drug and Delivery Specifications
2
minute lock out max 6 mls per hour.
3 min lock out max 4 mls per hour.
4 min lock out max 3 mils per hour.
All limited to + 15% max specifications.
Max bolus dose (1.8-1.9mls) less than 0.2mls spray.
Catalogue
Number:
No
Lockout Nasal Sprays
- NSS 000: No lockout screw
top.
Warning:
The No Lock Out Nasal Spray is unsuitable for self administration of
opiods, narcotics and similar drugs which are seen as Central Nervous
System Depressants.
Lockout
Nasal Sprays
- NSC 030: 3 min lockout
crimp top.
- NSC 040: 4 min lockout
crimp top.
- NSC 050: 5 min lockout
crimp top.
- NSS 030: 3 min lockout
screw top.
- NSS 040: 4 min lockout
screw top.
- NSS 050: 5 min lockout
screw top.
Nasal
Spray pouch
- NSP 02: Nasal spray clip
on pouch.
References:
- Schwagmeier
et al. Pharmacokinetics of intranasal Alfentanyl. Journal Of
Clinical Anaesthesia 1995; 7:109-115
- Helmers
etal. Comparison of Intravenous and intranasal Sufentanyl
Absorption. Canadian Journal of Anaesthesia 1989;36:494-7
- Striebel
HW et al. Postoperative Pain Management by Intranasal demand Adapted
Fentanyl Titration. Anaesthesiology 1992; 77:281-5
- Striebel
HW et al. intranasal Meperidine Titration for Postoperative Pain
Relief. Anaesthesia Analgesic 1993; 76:1047-51
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