Maji: a new tool to prevent overhydration of children receiving intravenous fluid therapy in low-resource settings.

Journal Article (Journal Article)

We designed and evaluated the accuracy and usability of a device to regulate the volume of fluid dispensed during intravenous drip therapy. The mechanical system was developed in response to a pressing need articulated by clinicians in pediatric wards throughout sub-Saharan Africa, who require a tool to prevent overhydration in children receiving intravenous fluid in settings that lack burettes or electronic infusion pumps. The device is compatible with most intravenous bags and limits the volume dispensed to a preset amount that can be adjusted in 50 mL increments. Laboratory accuracy over a range of clinically-relevant flow rates, initial bag volumes, and target volumes was within 12.0 mL of the target volume. The ease of use is "excellent," with a mean system usability score of 84.4 out of 100. Use of the device limits the volume of fluid dispensed during intravenous therapy and could potentially reduce the morbidity and mortality associated with overhydration in children receiving intravenous therapy.

Full Text

Duke Authors

Cited Authors

  • Shah, K; Skerrett, E; Nojoomi, M; Walker, T; Maynard, K; Pan, M; Flynn, B; Yuan, M; Horton, P; Vaughn, T; Miros, R; Molyneux, E; Saterbak, A; Oden, ZM; Richards-Kortum, R

Published Date

  • May 2015

Published In

Volume / Issue

  • 92 / 5

Start / End Page

  • 1053 - 1058

PubMed ID

  • 25732685

Pubmed Central ID

  • PMC4426563

Electronic International Standard Serial Number (EISSN)

  • 1476-1645

International Standard Serial Number (ISSN)

  • 0002-9637

Digital Object Identifier (DOI)

  • 10.4269/ajtmh.14-0495


  • eng