Hypodermoclysis: An alternative infusion technique

Hypodermoclysis, the subcutaneous infusion of fluids, is a useful and easy hydration technique suitable for mildly to moderately dehydrated adult pati ents, especially the elderly. The method is considered safe and does not po se any serious complications. The most frequent adverse effect is mild subc utaneous edema that can be treated by local massage or systemic diuretics. Approximately 3 L can be given in a 24-hour period at two separate sites. C ommon infusion sites are the chest, abdomen, thighs and upper arms. The pre ferred solution is normal saline, but other solutions, such as half-normal saline, glucose with saline or 5 percent glucose, can also be used. Potassi um chloride can be added to the solution bag if needed. Hyaluronidase can a lso be added to enhance fluid absorption. Hypodermoclysis can be administer ed at home by family members or a nurse; the technique should be familiar t o every family physician.