title: [Ventricular fibrillation caused by a misplaced Sengstaken tube].
abstract: Uncontrollable hemorrhage from esophageal varicose veins in portal hypertension and cirrhosis of the liver may be treated with a Sengstaken-Blakemore tube. A case of ventricular fibrillation caused by a misplaced Sengstaken-Blakemore tube is described. Patients with a Sengstaken-Blakemore tube in place should be checked by a trained nurse for early signs of misplacement of the tube.
authors.affiliation: Silkeborg Centralsygehus, Anaestesiologisk Afdeling, Silkeborg. mariannerhode@hotmail.com
authors.forename: Marianne
authors.initials: M
authors.lastname: Rhode
authors.forename: Poul
authors.initials: P
authors.lastname: Lenler-Petersen
mesh_terms: D002404:Catheterization / Q000009:adverse effects* / Q000295:instrumentation / Q000592:standards; D002983:Clinical Competence; D004868:Equipment Failure; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects* / Q000295:instrumentation / Q000592:standards; D008297:Male; D019300:Medical Errors / Q000517:prevention & control; D008875:Middle Aged; D012307:Risk Factors; D014693:Ventricular Fibrillation / Q000209:etiology*