Interaction between infusion equipment resulting in drug overdose in a critically ill patient.
A critically ill septic patient on haemofiltration for acute renal failure suffered sudden circulatory and respiratory collapse. The cause of the collapse was traced to an interaction between mechanical devices (syringe driver infusion pumps and haemofiltration equipment) connected to two central venous catheters.
Sundaram
R
R
Anaesthetics Department, Victoria Infirmary, Langside, Glasgow, G42 9TY, Scotland.
Dell
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D058186:Acute Kidney Injury / Q000628:therapy; D000293:Adolescent; D000701:Analgesics, Opioid / Q000009:adverse effects; D016638:Critical Illness / Q000628:therapy*; D062787:Drug Overdose / Q000209:etiology*; D004868:Equipment Failure; D005260:Female; D006440:Hemofiltration / Q000295:instrumentation; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects; D007260:Infusion Pumps; D010880:Piperidines / Q000009:adverse effects; D015742:Propofol / Q000009:adverse effects; D000077208:Remifentanil
D000701:Analgesics, Opioid; D006993:Hypnotics and Sedatives; D010880:Piperidines; D000077208:Remifentanil; D015742:Propofol